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  • Title: Uniportal video-assisted thoracoscopic lobectomy with en bloc chest wall resection.
    Author: Gonzalez-Rivas D, Xie B, Yang Y, Jiang G.
    Journal: J Vis Surg; 2015; 1():7. PubMed ID: 29075597.
    Abstract:
    BACKGROUND: Lobectomy with chest wall resection was traditionally performed by thoracotomy or by conventional video-assisted thoracoscopic surgery (VATS) during the last decade. However, this procedure can be performed by using only a single incision thoracoscopic approach. METHODS: The publications of uniportal VATS lobectomy requiring chest wall resection describes the use of one incision for the lobectomy (uniportal approach) and a posterior or lateral incision for the chest wall resection. This additional incision ensures a better control from outside and inside to achieve a costal resection with good oncologic margins. RESULTS: This video shows a total uniportal VATS lobectomy with en bloc chest wall resection through a single 5-cm incision with no rib spreading. The total surgical time was 150 minutes. The postoperative course of the patient was uneventful. CONCLUSIONS: Uniportal VATS lobectomy with en-bloc chest wall resection is a feasible and safe technique. The full procedure can be performed by using only a single incision in selected cases.
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