Uniportal Posterior Mediastinal Surgery

  • Luis Angel Hernandez-Arenas
  • Yang Yang
  • Zhu Yu-Ming
  • Gening Jiang
  • Diego Gonzalez-RivasEmail author


The Uniportal Transthoracic approach for posterior mediastinal tumours is a succinctly described technique, it is feasible and safe, and offers a good view and exposure of the operating field in the posterior mediastinum. A 3–4 cm incision is made in the fourth, fifth or sixth intercostal space depending on the location of the lesion at the level of the anterior axillary line. A 5 mm or 10 mm, 30° high definition video camera is always used. The Uniportal VATS approach can be used for diagnostic procedures or complete excision of the posterior mediastinal tumours. In this chapter we explain how to perform the dissection and resection of the posterior mediastinal tumours by uniportal approach.

Supplementary material

Video 1

Complete resection of posterior mediastinal mass by uniportal approach. (MP4 143273 kb)


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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Luis Angel Hernandez-Arenas
    • 1
    • 2
  • Yang Yang
    • 2
  • Zhu Yu-Ming
    • 2
  • Gening Jiang
    • 2
  • Diego Gonzalez-Rivas
    • 3
    • 4
    Email author
  1. 1.Department of Thoracic SurgeryUniversity Hospitals Birmingham NHS Foundation TrustBirminghamUK
  2. 2.Department of Thoracic Surgery, Shanghai Pulmonary Hospital Affiliated to TongjiUniversity School of MedicineShanghaiChina
  3. 3.Department of Thoracic Surgery, Shanghai Pulmonary HospitalTongji University School of MedicineShanghaiChina
  4. 4.Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI)Coruña University HospitalCoruñaSpain

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