Uniportal and single-incision video-assisted thoracic surgery: the state of the art

摘要: Over the past decade, uniportal video-assisted thoracic surgery (VATS) has evolved dramatically into a sophisticated technique capable of performing some most complex procedures. The idea operating through fewer surgical incisions and, therefore, with potentially better cosmesis, less postoperative pain and paraesthesia, led to VATS increasing in popularity worldwide. approach demands instrument design be suited for multiple instruments single small incision. Furthermore, drive by surgeons industry develop novel, smaller, more specialized procedure-specific further allow reduction incision size is relentless. Refinement instruments, angulated narrower endostaplers, improvements video-camera systems, including 3D 120° articulating lens will make major lung resection easier perform learn. In future, we could see development subcostal or e-NOTES access, endorobotic arms that open operate within chest cavity, cross-discipline imaging assistance