Subxiphoid uniportal bilateral lung wedge resection.

Area of Science:

• Thoracic Surgery
• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Traditional bilateral lung resections often require multiple incisions and patient repositioning.
• Uniportal approaches aim to minimize surgical invasiveness and improve patient recovery.

Purpose of the Study:

• To describe the surgical procedure for subxiphoid uniportal bilateral lung wedge resection.
• To report the initial outcomes of this novel surgical technique.

Main Methods:

• A single 3-cm transverse incision was made below the xiphoid process.
• Uniportal port insertion with CO2 insufflation (8 mmHg) was utilized.
• Bent grasping forceps and a modified stapler enabled bilateral lung resection in one stage.

Main Results:

• The subxiphoid uniportal approach allows for bilateral lung wedge resection via a single incision.
• This technique avoids intercostal nerve damage and eliminates the need for patient repositioning.
• Initial results suggest a potentially less invasive procedure for patients.

Conclusions:

• Subxiphoid uniportal bilateral lung wedge resection is a feasible surgical technique.
• The approach offers potential benefits of reduced invasiveness and single-stage bilateral procedures.
• Further comparative studies with larger sample sizes are warranted to validate these findings.