Advertisement

Room Set Up and Instrumentation

  • Mahmoud Ismail
Chapter

Abstract

Uniportal VATS is becoming nowadays a more common procedure in several thoracic units worldwide. With this technique, all advantages of minimally invasive surgery are applied and the oncological principles of open surgery are respected. The use of this approach is described not only for minor lung resections but also for major lung resections (Gonzalez D, Paradela M, Garcia J, et al. Interact Cardiovasc Thorac Surg 2011;12:514–5) Various standardized steps, starting with the preoperative setting and ending with the immediate postoperative care, can help establish development of this procedure. As the surgeon gains more experience with setting up of this procedures, this could enable to manage even complex cases. The objectives of this chapter are to set the basic steps for room set-up and instrumentation for starting or improving a uniportal program in thoracic surgery units.

References

  1. 1.
    Moisiuc FV, Colt HG. Thoracoscopy: origins revisited. Respiration. 2007;74(3):344–55. Epub 2006 Dec 21.CrossRefGoogle Scholar
  2. 2.
    Landreneau RJ, Mack MJ, Hazelrigg SR, Dowling RD, Acuff TE, Magee MJ, Ferson PF. Video-assisted thoracic surgery: basic technical concepts and intercostal approach strategies. Ann Thorac Surg. 1992;54(4):800–7.CrossRefGoogle Scholar
  3. 3.
    Rocco G. One-port (uniportal) video-assisted thoracic surgical resections—a clear advance. J Thorac Cardiovasc Surg. 2012;144:S27–31.CrossRefGoogle Scholar
  4. 4.
    Howington JA, et al. 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
  5. 5.
    Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg. 2004;77(2):726–8.CrossRefGoogle Scholar
  6. 6.
    Yamamoto H, et al. Video-assisted thoracic surgery through a single skin incision. Arch Surg. 1998;133(2):145–7.CrossRefGoogle Scholar
  7. 7.
    Ismail M, Swierzy M, Nachira D, Rückert JC. Fast-tracking patients through the diagnostic and therapeutic pathways of intrathoracic conditions: the role of uniportal vats. Thorac Surg Clin. 2017;27(4):425–30.  https://doi.org/10.1016/j.thorsurg.2017.06.011.CrossRefPubMedGoogle Scholar
  8. 8.
    Gonzalez-Rivas D. Recent advances in uniportal video-assisted thoracoscopic surgery. Chin J Cancer Res. 2015;27(1):90–3.  https://doi.org/10.3978/j.issn.1000-9604.2015.02.03.CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Ismail M, Swierzy M, Nachira D, Rückert JC, Gonzalez-Rivas D. Uniportal video-assisted thoracic surgery for major lung resections: pitfalls, tips and tricks. J Thorac Dis. 2017;9(4):885–97.  https://doi.org/10.21037/jtd.2017.02.04.CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Wang L, Liu D, Lu J, Zhang S, Yang X. The feasibility and advantage of uniportal video-assisted thoracoscopic surgery (VATS) in pulmonary lobectomy. BMC Cancer. 2017;17(1):75.  https://doi.org/10.1186/s12885-017-3069-z.CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg. 2011;12:514–5.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Mahmoud Ismail
    • 1
  1. 1.Department of Thoracic Surgery, Klinikum Ernst von BergmannAcademic Hospital of the Charité—Universitätsmedizin Humboldt University BerlinPotsdamGermany

Personalised recommendations