Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical Practice Gaetano Rocco, MD, FRCS(Ed), FETCS Operative.

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Presentation transcript:

Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical Practice Gaetano Rocco, MD, FRCS(Ed), FETCS Operative Techniques in Thoracic and Cardiovascular Surgery Volume 14, Issue 4, Pages 326-335 (December 2009) DOI: 10.1053/j.optechstcvs.2009.08.002 Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 1 Patient's positioning for uniportal VATS. Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 2 Distribution of the members of the surgical team during uniportal VATS (see text). Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 3 (A) Typical incision measuring 2-2.5 cm, usually accommodating 1 surgeon's fingerbreadth (B). Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 4 Initial positioning of instrumentation for uniportal VATS wedge resection of the lung. Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 5 Intraoperative view of sequence leading to uniportal VATS apical bleb resection with initial instrument positioning (A) and subsequent completion of parenchymal stapling (B). (C) Schematic of pleurodesis obtained with pleural abrasion through a scratchpad mounted on an articulating endograsper (see text). Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 6 (A) Example of positioning of the videothoracoscope relative to target nodule in the lung (see text). Details on the use of articulating grasping (B) and stapling (C) instrumentation for uniportal VATS wedge resection (D) and subsequent extraction of the specimen with an endobag (E). Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 6 (A) Example of positioning of the videothoracoscope relative to target nodule in the lung (see text). Details on the use of articulating grasping (B) and stapling (C) instrumentation for uniportal VATS wedge resection (D) and subsequent extraction of the specimen with an endobag (E). Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions

Figure 7 Details of uniportal VATS right sympathectomy begun over the second rib (A) and completed over the third rib (B). Operative Techniques in Thoracic and Cardiovascular Surgery 2009 14, 326-335DOI: (10.1053/j.optechstcvs.2009.08.002) Copyright © 2009 Elsevier Inc. Terms and Conditions