Single-Port Video-Assisted Thoracic Surgery (Uniportal) in the Routine General Thoracic Surgical Practice

Patient's positioning for uniportal VATS.

Distribution of the members of the surgical team during uniportal VATS (see text).

(A) Typical incision measuring 2-2.5 cm, usually accommodating 1 surgeon's fingerbreadth (B).

Initial positioning of instrumentation for uniportal VATS wedge resection of the lung.

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).

(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).

(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).

Details of uniportal VATS right sympathectomy begun over the second rib (A) and completed over the third rib (B).