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Updated: Feb 7, 2026
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
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Single-port video-assisted thoracic surgery (VATS)-advanced procedures & update
William Guido-Guerrero1, Albert Bolaños-Cubillo1, Diego González-Rivas2,3
1Department of Thoracic Surgery, Rafael Angel Calderón Guardia Hospital, San José, Costa Rica.
Journal of Thoracic Disease
|July 24, 2018
Summary
Uniportal video-assisted thoracic surgery (VATS) enables complex pulmonary resections with optimal outcomes. This minimally invasive approach is growing globally due to technological advancements and patient benefits.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Surgical Technology
Background:
- The uniportal approach for major pulmonary resections was introduced in 2010.
- It has since been adopted globally for increasingly complex thoracic procedures.
Purpose of the Study:
- To review the evolution and current status of uniportal VATS for major pulmonary resections.
- To highlight the advancements in technology and the benefits driving its widespread adoption.
Main Methods:
- Review of published cases and advancements in uniportal video-assisted thoracic surgery.
- Analysis of complex procedures including tracheal resection, carinal resection, and vascular reconstruction.
Main Results:
- Successful implementation of uniportal VATS for advanced procedures like bronchoplastic surgery and en bloc chest wall excision.
- Optimal outcomes reported across various complex thoracic surgeries performed via the uniportal approach.
Conclusions:
- Uniportal VATS has demonstrated significant growth and efficacy in major pulmonary resections and complex thoracic surgeries.
- Technological progress and benefits such as direct view, improved cosmesis, and reduced pain are key drivers of its worldwide expansion.
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