Complex uniportal video-assisted thoracoscopic sleeve lobectomy during live surgery broadcasting.
The uniportal approach for major pulmonary resections began in 2010 with the first case being performed by González-Rivas and colleagues in La Coruña. Since then a number of teams around the world had being performing hundreds of cases, applying it to more advance and complex cases recently. The technique has been reported to be feasible and reliable with similar results to that obtained in early stage lung cancer lobectomies. The case presented in this article is an example of an extreme condition: very obese patient, strong adhesions, fused lower lobe to the diaphragm and enlarged inflammatory adenopathies that made the procedure very technically challenging. In addition, the surgery was performed during a live surgery event and it was broadcasted to an auditorium. However, the case was successfully completed through a uniportal VATS approach with no complications.
1 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 2 Department of Thoracic Surgery, Rafael Angel Calderón Guardia Hospital, San José, Costa Rica ; 3 Department of Cardiothoracic Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia ; 4 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Yang
Y
Yang
1 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 2 Department of Thoracic Surgery, Rafael Angel Calderón Guardia Hospital, San José, Costa Rica ; 3 Department of Cardiothoracic Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia ; 4 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
William Guido
WG
Guerrero
1 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 2 Department of Thoracic Surgery, Rafael Angel Calderón Guardia Hospital, San José, Costa Rica ; 3 Department of Cardiothoracic Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia ; 4 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Iskander
I
Algitmi
1 Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China ; 2 Department of Thoracic Surgery, Rafael Angel Calderón Guardia Hospital, San José, Costa Rica ; 3 Department of Cardiothoracic Surgery, King Abdulaziz University Hospital, Jeddah, Saudi Arabia ; 4 Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Diego
D
Gonzalez-Rivas
Sleeve lobectomy; bronchoplasty; difficult case; live surgery; single port lobectomy; uniportal VATS