Uniportal Right Upper Lobectomy

  • Heron Andrade
  • Arthur Vieira
  • Paula Ugalde Figueroa


Over the past two decades, video-assisted thoracoscopic surgery (VATS) has evolved from a diagnostic procedure to a treatment for complex lung cancer cases. VATS is now accepted as a feasible, safe, and effective surgical technique for the treatment of lung cancer [1]. In fact, in current practice guidelines, thoracoscopic surgery is the suggested approach for the treatment of early-stage lung cancer [2, 3]. Decreased blood loss, reduced pain, shorter length of hospital stay, and fewer overall complications are just a few of the many potential benefits of this minimally invasive approach [4]. High-volume centers have not only evolved VATS techniques by performing more complex surgeries using VATS, but have also developed a new approach decreasing the number of incisions to one—the uniportal technique [5–7].


Uniportal Single port Lobectomy Thoracoscopy Lung cancer Video-assisted thoracoscopic surgery Minimally invasive surgical procedures 

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  1. 1.
    Swanson SJ, Herndon JE, D’Amico TA, Demmy TL, McKenna RJ, Green MR, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802 – a prospective, multi-institution feasibility study. J Clin Oncol. 2007;25:4993–7.CrossRefGoogle Scholar
  2. 2.
    National Comprehensive Cancer Network (NCCN). NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®). Non-small cell lung cancer. Version 4.2016. Jan 12, 2016. Abstract available at
  3. 3.
    Howington JA, Blum MG, Chang AC, Balekian AA, Murthy SC. Treatment of stage I and II non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143(Suppl 5):e278S–313S.CrossRefGoogle Scholar
  4. 4.
    Scott WJ, Allen MS, Darling G, Meyers B, Decker PA, Putnam JB, McKenna RW, Landrenau RJ, Jones DR, Inculet RI, Malthaner RA. Video-assisted thoracic surgery versus open lobectomy for lung cancer: a secondary analysis of data from the American College of Surgeons Oncology Group Z0030 randomized clinical trial. J Thorac Cardiovasc Surg. 2010;139(4):976–83.CrossRefGoogle Scholar
  5. 5.
    Kara HV, Balderson SS, D’Amico TA. Modified uniportal video-assisted thoracoscopic lobectomy: Duke approach. Ann Thorac Surg. 2014;98:2239–41.CrossRefGoogle Scholar
  6. 6.
    Battoo A, Jahan A, Yang Z, Nwogu CE, Yendamuri SS, Dexter EU, Hennon MW, Picone AL, Demmy TL. Thoracoscopic pneumonectomy: an 11-year experience. Chest. 2014;146:1300–9.CrossRefGoogle Scholar
  7. 7.
    Drevet G, Ugalde Figueroa P. Uniportal video-assisted thoracoscopic surgery: safety, efficacy and learning curve during the first 250 cases in Quebec, Canada. Ann Cardiothorac Surg. 2016;5(2):100–6.CrossRefGoogle Scholar
  8. 8.
    RJ MK Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg. 2006;81(2):421–5.CrossRefGoogle Scholar
  9. 9.
    Onaitis MW, Petersen RP, Balderson SS, Toloza E, Burfeind WR, Harpole DH Jr, D’Amico TA. Thoracoscopic lobectomy is a safe and versatile procedure: experience with 500 consecutive patients. Ann Surg. 2006;244(3):420–5.PubMedPubMedCentralGoogle Scholar
  10. 10.
    Rocco G, Martin Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg. 2004;77:726–8.CrossRefGoogle Scholar
  11. 11.
    Gonzalez D, Paradela M, Garcia J, de la Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg. 2011;12:514–5.CrossRefGoogle Scholar
  12. 12.
    Gonzalez-Rivas D. VATS lobectomy: surgical evolution from conventional VATS to uniportal approach. Sci World J. 2012;2012:780842.CrossRefGoogle Scholar
  13. 13.
    Li C, Ma H, He J, Ni B, Xu C, Zhao J. Clinical analysis of thoracoscopic lobectomy in the treatment of peripheral lung cancer with single utility port. Chin J Lung Cancer. 2013;16:487–91.Google Scholar
  14. 14.
    Akter F, Routledge T, Toufektzian L, Attia R. In minor and major thoracic procedures is uniport superior to multiport video-assisted thoracoscopic surgery? Interact Cardiovasc Thorac Surg. 2015;20(4):550–5.CrossRefGoogle Scholar
  15. 15.
    Perna V, Carvajal AF, Torrecilla JA, Gigirey O. Uniportal video-assisted thoracoscopic lobectomy versus other video-assisted thoracoscopic lobectomy techniques: a randomized study. Eur J Cardiothorac Surg. 2016;50:411–5.CrossRefGoogle Scholar
  16. 16.
    Gonzalez-Rivas D, D’Amico T, Jiang G, Sihoe A. Uniportal video-assisted thoracic surgery: a call for better evidence, not just more evidence. Eur J Cardiothorac Surg. 2016;50(3):416–7.CrossRefGoogle Scholar
  17. 17.
    Gonzalez-Rivas D, Fernandez R, Fieira E, et al. Uniportal video-assisted thoracoscopic bronchial sleeve lobectomy: first report. J Thorac Cardiovasc Surg. 2013;145:1676–7.CrossRefGoogle Scholar
  18. 18.
    Gonzalez-Rivas D, Delgado M, Fieira E, et al. Double sleeve uniportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer. Ann Cardiothorac Surg. 2014;3:E2.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Gonzalez-Rivas D, Delgado M, Fieira E, et al. Uniportal video-assisted thoracoscopic pneumonectomy. J Thorac Dis. 2013;5(Suppl 3):S246–52.PubMedPubMedCentralGoogle Scholar
  20. 20.
    D’Amico TA. Operative techniques in early-stage lung cancer. J Natl Compr Cancer Netw. 2010;8:807–13.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Heron Andrade
    • 1
  • Arthur Vieira
    • 1
  • Paula Ugalde Figueroa
    • 1
  1. 1.Division of Thoracic SurgeryInstitut Universitaire de Cardiologie et de Pneumologie de Quebec—Université LavalQuebec CityCanada

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