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The Evolution of Video Assisted Thoracic Surgery

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Atlas of Uniportal Video Assisted Thoracic Surgery

Abstract

Surgery is not a static entity, but a constantly evolving discipline. It adapts itself in response to changing patient needs, emergence of new technologies, and developments in medical knowledge.

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Acknowledgements

The author wishes to thank Dr. Stephen Wang and the AME Publishing Company for technical support and permission to reproduce Figs. 1, 2, 3, 4, 5 and 7 from the Journal of Thoracic Disease.

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Needlescopic VATS right upper lobectomy. Notice that the axis of the operation and camera view is essential the same as for a conventional three-port VATS approach. The view achieved with a 3 mm video-thoracoscope coupled with modern high-definition camera systems provides very good images. (WMV 97849 kb)

Two-port VATS right upper lobectomy. Notice that the axis of the operation and camera view is essential the same as for a conventional three-port VATS approach. Compared with the Needlescopic approach in Video 1, the two-port approach is almost identical and the loss of the posterior port (admitting a 3 mm grasper only) is barely noticed. (WMV 146256 kb)

Uniportal VATS right middle lobectomy. (WMV 31613 kb)

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Sihoe, A.D.L. (2019). The Evolution of Video Assisted Thoracic Surgery. In: Gonzalez-Rivas, D., Ng, C., Rocco, G., D’Amico, T. (eds) Atlas of Uniportal Video Assisted Thoracic Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-2604-2_1

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