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Updated: Aug 11, 2025
05:39
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
1.7K
[Ingenuity for the Uniportal Video-assisted Thoracic Surgery as a Minimally Invasive Procedure]
Nobuhiro Tanaka1, Kento Terasaki, Hirotaka Yuki
1Department of Thoracic Surgery, Kanazawa University, Kanazawa, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 2, 2023
Summary
Uniportal video-assisted thoracic surgery (VATS) offers a minimally invasive option with reduced scarring. This technique, refined with specific instruments and approaches, demonstrates safety and feasibility in thoracic procedures.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
Context:
- Uniportal video-assisted thoracic surgery (VATS) is gaining popularity, particularly in Japan.
- Traditional VATS involves multiple ports, while uniportal VATS uses a single incision, posing challenges like instrument interference.
Purpose:
- To describe a refined uniportal VATS technique focusing on layer awareness and instrument selection.
- To evaluate the safety and efficacy of this specific uniportal VATS approach.
Summary:
- The technique emphasizes layer awareness and uses specialized instruments like curved forceps and a custom spatula to overcome uniportal limitations.
- Vascular manipulation techniques include ligation and transection when stapling is difficult.
- Mediastinal lymph node dissection is facilitated by precise visualization.
Impact:
- The study included 51 cases performed between January 2019 and June 2022.
- No serious perioperative complications were reported, indicating a safe procedure.
- Two cases of recurrence were observed, suggesting areas for future improvement.
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