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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

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Published on: February 27, 2026

Single-port video-assisted thoracoscopic left upper lobectomy.

Diego Gonzalez-Rivas¹, Mercedes de la Torre, Ricardo Fernandez

¹Department of Thoracic Surgery, Coruña University Hospital (CHUAC), Coruña, Spain. diego.gonzalez.rivas@sergas.es

Interactive Cardiovascular and Thoracic Surgery

|August 11, 2011

Summary

This summary is machine-generated.

Single-port upper lobectomy, a minimally invasive approach for lung cancer, can be performed without rib spreading. This technique offers a less invasive option for patients undergoing thoracic surgery.

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Area of Science:

Thoracic Surgery
Surgical Oncology
Minimally Invasive Procedures

Background:

Video-assisted thoracic surgery (VATS) anatomic lobectomy for lung cancer, introduced in 1993, has seen varied adoption and technique descriptions across departments.
While VATS lobectomy is increasingly common, most surgeons utilize a three-incision approach.
Experienced surgeons can perform lobectomy using fewer ports, particularly the double-port technique.

Observation:

Lower lobe resections are generally considered simpler within VATS lobectomy.
This report details the first known instance of a single-port upper lobectomy.
The described single-port upper lobectomy was performed without the need for rib spreading.

Findings:

A single-port approach for upper lobectomy in lung cancer is feasible.
This technique eliminates the need for rib spreading, potentially reducing patient discomfort and recovery time.
The procedure was successfully completed by experienced surgeons, highlighting the potential for advanced minimally invasive techniques.

Implications:

This advancement in VATS lobectomy may offer a less invasive surgical option for upper lobe lung cancers.
Further research and adoption of single-port techniques could lead to improved patient outcomes and reduced surgical morbidity.
This technique expands the possibilities of minimally invasive thoracic surgery, potentially making it accessible to a wider range of patients.