Uniportal video-assisted thoracoscopic left basilar segmentectomy

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Pulmonary Medicine

Background:

• Uniportal video-assisted thoracoscopic surgery (VATS) is emerging as a viable alternative to multi-port VATS.
• Uniportal VATS lobectomy and segmentectomy are gaining traction in thoracic surgery.
• Limited reports exist on uniportal VATS for basilar segmentectomy.

Purpose of the Study:

• To report the successful application of uniportal VATS for basilar segmentectomy.
• To present a case of recurrent hemoptysis treated with this technique.
• To evaluate the feasibility and outcomes of uniportal VATS basilar segmentectomy.

Main Methods:

• A left basilar segmentectomy was performed using a single port in a patient with a basilar lung nodule.
• The procedure involved a 90-minute operating time.
• Postoperative recovery was monitored.

Main Results:

• The surgery was completed successfully with no intraoperative or postoperative complications.
• Pathology confirmed the nodule was caused by cryptococcosis.
• A 6-month follow-up revealed a normal chest CT scan and complete patient recovery.

Conclusions:

• Uniportal VATS basilar segmentectomy is a safe and effective minimally invasive option.
• This technique can be successfully employed for treating lung pathologies in the basilar segments.
• Uniportal VATS offers a promising approach for complex thoracic procedures.