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      Single-port Video-Assisted Thoracic Surgery for Lung Cancer

      case-report

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          Abstract

          Video-assisted thoracic surgery (VATS) is a minimally invasive technique that has many advantages in postoperative pain and recovery time. Because of its advantages, VATS is one of the surgical techniques widely used in patients with lung cancer. Most surgeons perform VATS for lung cancer with three or more incisions. As the technique of VATS has evolved, single-port VATS for lung cancer has been attempted and its advantages have been reported. We describe our experiences of VATS for lung cancer with a single incision in this report.

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          Uniportal VATS wedge pulmonary resections.

          Since 2000, 15 patients have undergone single port (uniportal) video-assisted thoracic surgery for wedge pulmonary resection either for diagnosis of interstitial lung diseases (10 patients) or for treatment of primary spontaneous pneumothoraces (5 patients). Diagnosis was obtained in all patients and no recurrences of pneumothorax were seen at follow-up. This initial experience shows that, for specific indications, uniportal video-assisted thoracic surgery for wedge pulmonary resections can be safe and effective.
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            Single-port video-assisted thoracoscopic lobectomy.

            The video-assisted thoracoscopic surgery (VATS) approach to lobectomy for non-small cell lung cancer varies among hospitals. Although three to four incisions are usually made, the operation may be successfully carried out using only two incisions with similar results. We observed that for lower lobes the second incision could be eliminated in selected cases. We describe a case report of a 74-year-old female operated by a single-port approach for a lower-lobe VATS lobectomy.
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              Single-port video-assisted thoracoscopic left upper lobectomy.

              Video-assisted thoracic surgery (VATS) anatomic lobectomy for lung cancer was initially described in 1993. Since then, many thoracic surgery departments have progressively adopted this technique, although the approach description may vary greatly among them. Most of surgeons use three incisions but the lobectomy can be performed by only one port, especially when it is performed by surgeons experienced in double-port technique. Lower lobes are the easiest cases to perform. To the best of our knowledge this is the first report of a single-port upper lobectomy with no rib spreading.
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                Author and article information

                Journal
                Korean J Thorac Cardiovasc Surg
                Korean J Thorac Cardiovasc Surg
                KJTCS
                The Korean Journal of Thoracic and Cardiovascular Surgery
                Korean Society for Thoracic and Cardiovascular Surgery
                2233-601X
                2093-6516
                August 2013
                06 August 2013
                : 46
                : 4
                : 299-301
                Affiliations
                [1 ]Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Korea.
                [2 ]Department of Thoracic and Cardiovascular Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Korea.
                Author notes
                Corresponding author: Do Kyun Kang, Department of Thoracic and Cardiovascular Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, 875 Haeun-daero, Haeundae-gu, Busan 612-862, Korea. (Tel) 82-51-797-3131, (Fax) 82-51-797-1411, med7695@ 123456naver.com
                Article
                10.5090/kjtcs.2013.46.4.299
                3756164
                24003414
                d8f75a6e-167e-43fc-87de-fdfadbfe1d4a
                © The Korean Society for Thoracic and Cardiovascular Surgery. 2013. All right reserved.

                This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 August 2012
                : 11 November 2012
                : 15 November 2012
                Categories
                Case Report

                Surgery
                video-assisted thoracic surgery,lung neoplasms,lobectomy
                Surgery
                video-assisted thoracic surgery, lung neoplasms, lobectomy

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