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Related Experiment Videos

Subxiphoid uniportal lobectomy.

Mohamed M Moneer ElSaegh1, Nur Aziah Ismail2, Mohamed I Mydin1

  • 1Department of Cardiothoracic Surgery, the James Cook University Hospital, Middlesbrough, UK.

Journal of Visualized Surgery
|October 29, 2017
PubMed
Summary
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Subxiphoid uniportal VATS (SVATS) lung resection offers advantages over traditional methods by avoiding rib-related pain and numbness. This minimally invasive technique was successfully performed in the UK for a right middle lobe adenocarcinoma, with the patient discharged in two days.

Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Traditional Video-Assisted Thoracic Surgery (VATS) involves multiple ports, potentially causing chronic pain and chest wall numbness.
  • Uniportal VATS aims to minimize invasiveness but may still cause discomfort due to port placement between ribs.
  • The subxiphoid uniportal approach offers an alternative, avoiding intercostal nerve manipulation.

Observation:

  • A case report details the first uniportal subxiphoid VATS (SVATS) right middle lobectomy in the UK.
  • The procedure was performed on a 62-year-old male smoker with T1aN0M0 right middle lobe adenocarcinoma.
  • The Shanghai technique was utilized, involving a single subxiphoid incision.

Findings:

  • The SVATS right middle lobectomy was technically successful.
Keywords:
Video-assisted thoracic surgery (VATS)micro lobectomyminimally invasivesubxiphoid

Related Experiment Videos

  • The patient experienced no intraoperative or postoperative complications.
  • The patient was discharged two days after the surgery.

    • Implications:

    • The subxiphoid uniportal approach demonstrates potential for reduced postoperative pain and improved patient recovery in lung resections.
    • This technique offers greater instrument maneuverability without rib cage limitations.
    • Wider adoption of SVATS may enhance the safety and efficiency of thoracic surgical procedures.