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Updated: May 7, 2026
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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Uniportal video-assisted thoracoscopic lobectomy
Diego Gonzalez-Rivas1, Eva Fieira, Maria Delgado
1Department of thoracic surgery, Coruña University Hospital, Coruña, Spain; ; Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña, Spain.
Journal of Thoracic Disease
|September 17, 2013
Summary
Video-assisted thoracic surgery (VATS) offers a less invasive approach to lung disease treatment. Single-incision VATS lobectomy provides similar outcomes to multi-incision techniques, expanding its use for complex cases.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Pulmonary Medicine
Background:
- Video-assisted thoracic surgery (VATS) has significantly advanced thoracic surgery over 20 years.
- Pulmonary resections represent a major area of advancement within VATS procedures.
- The optimal VATS technique for lobectomy remains an area of ongoing definition.
Observation:
- Most VATS lobectomies are performed using 3-4 incisions.
- Lobectomy can be effectively performed through a single incision without rib spreading.
- This single incision is consistent with ports used in double or triple port VATS.
Findings:
- Experience with VATS lobectomy has led to technique refinement for less invasiveness.
- Single-incision thoracoscopic lobectomy has demonstrated comparable outcomes to multi-incision approaches.
- Increased surgeon experience facilitates the application of single-incision VATS to more complex cases.
Implications:
- Single-incision VATS lobectomy represents a less invasive surgical option.
- The technique's efficacy in complex cases broadens its clinical applicability.
- Further adoption of single-incision VATS may enhance patient recovery and reduce morbidity.
