Uniportal lobectomy and segmentectomy-is it for all?

Area of Science:

• Thoracic Surgery
• Minimally Invasive Surgical Techniques
• Oncology

Background:

• Video-assisted thoracoscopic surgery (VATS) has significantly improved patient outcomes in thoracic procedures.
• Uniportal VATS represents a recent innovation, but comprehensive efficacy data is still limited.
• Experience with multi-port VATS (2- and 3-port) provides a foundation for understanding uniportal approaches.

Purpose of the Study:

• To review current outcomes of uniportal VATS lobectomy and segmentectomy.
• To present institutional experience with uniportal VATS.
• To examine future directions and challenges for uniportal VATS adoption.

Main Methods:

• Review of contemporary outcomes data for uniportal VATS lobectomy and segmentectomy.
• Analysis of institutional experience with uniportal VATS procedures.
• Examination of existing literature and expert opinion on uniportal VATS.

Main Results:

• Uniportal VATS approaches are being explored for lobectomy and segmentectomy with promising, though not yet fully established, results.
• Institutional experience suggests potential benefits in oncologic efficacy and patient outcomes.
• Further data collection and analysis are required to solidify the evidence base.

Conclusions:

• Uniportal VATS holds potential for advancing thoracic surgery, building upon established VATS principles.
• Continued research and data sharing are crucial for validating the efficacy and safety of uniportal VATS.
• Addressing challenges will facilitate the broader adoption of this minimally invasive technique.