Flexible Videoscope for Thoracoscopic Lobectomy: Evolution of Uniportal Technique

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2014 Oct 9

PMID 25294544

Citations 8

Authors

Mohsen Ibrahim

Cecilia Menna

Claudio Andreetti

Antonio DAndrilli

Anna Maria Ciccone

Giulio Maurizi

Francesco Cassiano

Erino Angelo Rendina

Affiliations

Soon will be listed here.

Abstract

Background: Over the years reducing the number of ports during Video-assisted thoracic surgery (VATS) has allowed to accomplish pulmonary lobectomy with a single incision. Endoscopic view and instruments maneuvers issues could be improved by using flexible endoscope. We report our experience of fifteen uniportal VATS (UVATS) using a flexible thoracoscope.

Methods: A single incision of about 4-5 cm long was performed at the 5th intercostal space along the anterior axillary line. No additional skin incisions were made. A flexible videoscope and multiple VATS instruments were simultaneously inserted into the uniport. Pulmonary lobectomy with systematic mediastinal lymph node dissection was performed. Verbal pain scores were registered using the visual analog scale from 0 to 10 at the first post-operative day.

Results: No post-operative complications or hospital mortality were recorded. Mean operative time was 112.6 min (range 70-200) and mean postoperative hospital stay 3.2 days (range 2-6). Mean pain score was 0.5 (range 0-2).

Conclusions: Single-incision VATS lobectomy using a flexible thoracoscope is a feasible and safe approach.

Citing Articles

The importance of endobag use with incision-protective devices in VATS lung resection: a preliminary study.

Noguera C, Lopes A, Mathias Filho I, Higa C, Nunes R, Lima C BMC Res Notes. 2022; 15(1):158.

PMID: 35538583 PMC: 9092789. DOI: 10.1186/s13104-022-06047-7.

The use of Transcollation Technology for Video-Assisted Thoracic Surgery lobectomy.

Menna C, Poggi C, Andreetti C, Ciccone A, Baccarini A, Maurizi G J Cardiothorac Surg. 2020; 15(1):190.

PMID: 32723360 PMC: 7385716. DOI: 10.1186/s13019-020-01230-y.

Technical means to improve image quality during thoracoscopic procedures.

Gossot D, Grigoroiu M, Brian E, Seguin-Givelet A J Vis Surg. 2017; 3:53.

PMID: 29078616 PMC: 5638028. DOI: 10.21037/jovs.2017.02.12.

The era of uniportal video-assisted thoracoscopic surgery.

Pastina M, Menna C, Andreetti C, Ibrahim M J Thorac Dis. 2017; 9(3):462-465.

PMID: 28449445 PMC: 5394040. DOI: 10.21037/jtd.2017.02.97.

Thoracoscopy as a safe and effective technique for exploring calves affected with bovine respiratory disease.

Perez-Villalobos N, Espinosa-Crespo I, Sampayo-Cabrera J, Gonzalez-Martin J, Gonzalez-Bulnes A, Astiz S J Anim Sci Technol. 2017; 59:5.

PMID: 28265460 PMC: 5331717. DOI: 10.1186/s40781-017-0129-5.

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