Single-Port Video-Assisted Thoracoscopic Lobectomy

  • Diego Gonzalez-RivasEmail author


The video-assisted thoracoscopic (VATS) approach to lobectomy varies between hospitals. Although 3 to 4 incisions are usually made, the operation can be successfully carried out using only 2 incisions with similar results. The second incision could be eliminated, and the lobectomy could be performed by using only the utility incision with no rib spreading. This incision is the same as we normally use for VATS lobectomies performed by double- or triple-port technique. The most important steps are the optimal exposure of the lung to facilitate the dissection and the movement of the camera in coordination with the surgical instruments.

This chapter describes this minimal invasive technique for VATS lobectomies with this single-incision approach.


Lower Lobectomy Camera Placement Pulmonary Ligament Utility Incision Lobe Vein 
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  1. 1.
    Burfeind WR, D’Amico TA (2004) Thoracoscopic lobectomy. Oper Tech Thorac Cardiovasc Surg 9:98–114CrossRefGoogle Scholar
  2. 2.
    Salati M, Brunelli A, Rocco G (2008) Uniportal video-assisted thoracic surgery for diagnosis and treatment of intrathoracic conditions. Thorac Surg Clin 18:305–310PubMedCrossRefGoogle Scholar
  3. 3.
    Yim AP, Wan S, Lee TW et al (2000) VATS lobectomy reduces cytokine responses compared with conventional surgery. Ann Thorac Surg 70:243–247PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department of Thoracic SurgeryCoruña University HospitalCoruñaSpain

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