Simple lung retraction method for uniportal video-assisted thoracoscopic surgery

Area of Science:

• Thoracic Surgery
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Conventional multiportal surgery uses specific tools for lung retraction to protect delicate lung tissue.
• Uniportal surgery faces instrument interference due to a single incision port, complicating lung retraction.
• Existing methods may be costly or less effective in uniportal settings.

Purpose of the Study:

• To present a simple, cost-effective lung retraction technique for uniportal video-assisted thoracoscopic surgery (VATS).
• To address the challenge of instrument interference in uniportal VATS.
• To improve surgical visualization and reduce procedural costs.

Main Methods:

• A novel technique utilizing readily available cotton swabs for lung retraction during uniportal VATS was developed.
• The technique was implemented to stabilize lung tissue and maintain a clear surgical field.
• Comparative advantages over conventional methods were assessed.

Main Results:

• The cotton swab technique provides effective lung retraction in uniportal VATS.
• This method significantly reduces the potential for instrument clashing within the single port.
• Improved surgical visualization and cost-effectiveness were observed.

Conclusions:

• Cotton swabs offer a simple, economical, and effective solution for lung retraction in uniportal VATS.
• This technique enhances surgical workflow and visualization, overcoming limitations of multiportal approaches.
• The described method represents a practical advancement for thoracic surgeons performing uniportal procedures.