Advancement and Progress of Single-port Video-assisted Thoracoscopic Surgery in the Treatment of Thoracic Diseases_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHE Guowei , LIU Lunxu.

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;;
Email：cheguowei@yahoo. com. cn;

Corresponding author：

Keywords：

Single-port video-assisted thoracoscopic surgery; Pneumothorax; Lobectomy; Diagnosis and treatment

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Abstract： Currently, there are two significant tendencies in the advancement and progress of video-assisted thoracoscopic surgery（VATS）, firstly, the widening surgical indications for VATS techniques, and secondly, the use of single-port VATS which is less invasive and more cosmetic. This article focuses in particular on four aspects of single-port VATS, including；（1）the individualized incision approach and its characteristics of single-port VATS；（2）single-port VATS for the treatment of pneumothorax and the development of related techniques and equipment；（3）single-port VATS for the diagnosis and treatment of thoracic diseases such as lung lobectomy；（4）the advantages and disadvantages of single-port VATS in clinical practice.

Citation： CHE Guowei,LIU Lunxu.. Advancement and Progress of Single-port Video-assisted Thoracoscopic Surgery in the Treatment of Thoracic Diseases. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2012, 19(2): 181-184. doi: Copy

1.	Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease. J Thorac Cardiovasc Surg, 2003, 126（5）：1618-1623.
2.	Salati M, Brunelli A, Xiumè F, et al. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax：clinical and economic analysis in comparison to the traditional approach. Iterac Cardiovasc Thorac Surg, 2008, 7（1）：63-66.
3.	Gonzalez-Rivas D, de la Torre M, Fernandez R, et al. Single-port video-assisted thoracoscopic left upper lobectomy. Interact Cardiovasc Thorac Surg, 2011, 13（5）：539-541.
4.	Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg, 2011, 12（3）：514-515.
5.	Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax：comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28（1）：43-46.
6.	Gigirey Castro O, Berlanga González L, Sánchez Gómez E. Single port thorascopic surgery using the SILS tool as a novel method in the surgical treatment of pneumothorax. Arch Bronconeumol，2010，46（8）：439-441.
7.	Chen PR, Chen CK, Lin YS, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6：58.
8.	Berlanga LA, Gigirey O. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax using a single-incision laparoscopic surgeryport：a feasible and safe procedure. Surg Endosc, 2011, 25（6）：2044-2047.
9.	Ginsberg RJ. New technique for one-lung anesthesia using an endobronchial blocker. J Thorac Cardiovasc Surg, 1981, 82：542-546.
10.	Rocco G, La Rocca A, Martucci N, et al. Awake single-access （uniportal） video-assisted thoracoscopic surgery for spontaneous pneumothorax. J Thorac Cardiovasc Surg, 2011, 142（4）：944-945.
11.	Rocco G, Romano V, Accardo R, et al. Awake single-access （uniportal） video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting. Ann Thorac Surg, 2010, 89（5）：1625-1627.
12.	Chang AC. Awake single-access （uniportal） video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting. Ann Thorac Surg, 2010, 89（5）：1625-1627.
13.	Brunelli A, Xiume F, Refai M, et al. Bilateral staged uniportal VATS for synchronous lung cancers. Interact Cardiovasc Thorac Surg, 2006, 5（5）：658-659.
14.	Rocco G, Brunelli A, Jutley R, et al. Uniportal VATS for mediastinal nodal diagnosis and staging. Interact Cardiovasc Thorac Surg, 2006, 5（4）：430-432.
15.	Rocco G, Khalil M, Jutley R. Uniportal video-assisted thoracoscopic surgery wedge lung biopsy in the diagnosis of interstitial lung diseases. J Thorac Cardiovasc Surg, 2005, 129（4）：947-948.
16.	Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77（2）：726-728.
17.	Salati M, Brunelli A, Rocco G. Uniportal video-assisted thoracic surgery for diagnosis and treatment of intrathoracic conditions. Thorac Surg Clin, 2008, 18（3）：305-310.
18.	Rocco G, Cicalese M, La Manna C, et al. Ultrasonographic identification of peripheral pulmonary nodules through uniportal video-assisted thoracic surgery. Ann Thorac Surg, 2011, 92（3）：1099-1101.
19.	Jutley RS, Cooper G, Rocco G. Extending video-assisted thoracoscopic surgery for trauma：the uniportal approach. J Thorac Cardiovasc Surg, 2006, 131（6）：1424.
20.	Tander B, Ustun L, Ariturk E, et al. Balloon-assisted single-port thoracoscopic debridement in children with thoracic empyema. J Laparoendosc Adv Surg Tech A, 2007, 17（4）：504-508.
21.	Rocco G, La Rocca A, La Manna C, et al. Uniportal video-assisted thoracoscopic surgery pericardial window. J Thorac Cardiovasc Surg, 2006, 131（4）：921-922.
22.	Chen YB, Ye W, Yang WT, et al. Uniportal versus biportal video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis. Chin Med J （Engl）, 2009, 122（13）：1525-1528.
23.	Bouma W, Klinkenberg TJ, Mariani MA. Bilateral single-port thoracoscopic sympathectomy with the VasoView device in the treatment of palmar and axillary hyperhidrosis. Interact Cardiovasc Thorac Surg, 2011, 12（2）：106-109.
24.	Oka S, Uramoto H, Hanagiri T. Successful extirpation of thoracic pleural lipoma by single-port thoracoscopic surgery. Asian J Surg, 2011, 34（3）：140-142.
25.	Gonzalez-Rivas D, de la Torre M, Fernandez R, et al. Single-incision video-assisted thoracoscopic right pneumonectomy. Surg Endosc, 2012, [Epub ahead of print] PMID：22234590.
26.	Gonzalez D, Torre M, Paradela M, et al. Video-assisted thoracic surgery lobectomy：3-year initial experience with 200 cases. Eur J Cardiothorac Surg, 2011, 40（1）：e21- e28.

1. 　Migliore M. Efficacy and safety of single-trocar technique for minimally invasive surgery of the chest in the treatment of noncomplex pleural disease. J Thorac Cardiovasc Surg, 2003, 126（5）：1618-1623.
2. 　Salati M, Brunelli A, Xiumè F, et al. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax：clinical and economic analysis in comparison to the traditional approach. Iterac Cardiovasc Thorac Surg, 2008, 7（1）：63-66.
3. 　Gonzalez-Rivas D, de la Torre M, Fernandez R, et al. Single-port video-assisted thoracoscopic left upper lobectomy. Interact Cardiovasc Thorac Surg, 2011, 13（5）：539-541.
4. 　Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg, 2011, 12（3）：514-515.
5. 　Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax：comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg, 2005, 28（1）：43-46.
6. 　Gigirey Castro O, Berlanga González L, Sánchez Gómez E. Single port thorascopic surgery using the SILS tool as a novel method in the surgical treatment of pneumothorax. Arch Bronconeumol，2010，46（8）：439-441.
7. 　Chen PR, Chen CK, Lin YS, et al. Single-incision thoracoscopic surgery for primary spontaneous pneumothorax. J Cardiothorac Surg, 2011, 6：58.
8. 　Berlanga LA, Gigirey O. Uniportal video-assisted thoracic surgery for primary spontaneous pneumothorax using a single-incision laparoscopic surgeryport：a feasible and safe procedure. Surg Endosc, 2011, 25（6）：2044-2047.
9. 　Ginsberg RJ. New technique for one-lung anesthesia using an endobronchial blocker. J Thorac Cardiovasc Surg, 1981, 82：542-546.
10. 　Rocco G, La Rocca A, Martucci N, et al. Awake single-access （uniportal） video-assisted thoracoscopic surgery for spontaneous pneumothorax. J Thorac Cardiovasc Surg, 2011, 142（4）：944-945.
11. 　Rocco G, Romano V, Accardo R, et al. Awake single-access （uniportal） video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting. Ann Thorac Surg, 2010, 89（5）：1625-1627.
12. 　Chang AC. Awake single-access （uniportal） video-assisted thoracoscopic surgery for peripheral pulmonary nodules in a complete ambulatory setting. Ann Thorac Surg, 2010, 89（5）：1625-1627.
13. 　Brunelli A, Xiume F, Refai M, et al. Bilateral staged uniportal VATS for synchronous lung cancers. Interact Cardiovasc Thorac Surg, 2006, 5（5）：658-659.
14. 　Rocco G, Brunelli A, Jutley R, et al. Uniportal VATS for mediastinal nodal diagnosis and staging. Interact Cardiovasc Thorac Surg, 2006, 5（4）：430-432.
15. 　Rocco G, Khalil M, Jutley R. Uniportal video-assisted thoracoscopic surgery wedge lung biopsy in the diagnosis of interstitial lung diseases. J Thorac Cardiovasc Surg, 2005, 129（4）：947-948.
16. 　Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77（2）：726-728.
17. 　Salati M, Brunelli A, Rocco G. Uniportal video-assisted thoracic surgery for diagnosis and treatment of intrathoracic conditions. Thorac Surg Clin, 2008, 18（3）：305-310.
18. 　Rocco G, Cicalese M, La Manna C, et al. Ultrasonographic identification of peripheral pulmonary nodules through uniportal video-assisted thoracic surgery. Ann Thorac Surg, 2011, 92（3）：1099-1101.
19. 　Jutley RS, Cooper G, Rocco G. Extending video-assisted thoracoscopic surgery for trauma：the uniportal approach. J Thorac Cardiovasc Surg, 2006, 131（6）：1424.
20. 　Tander B, Ustun L, Ariturk E, et al. Balloon-assisted single-port thoracoscopic debridement in children with thoracic empyema. J Laparoendosc Adv Surg Tech A, 2007, 17（4）：504-508.
21. 　Rocco G, La Rocca A, La Manna C, et al. Uniportal video-assisted thoracoscopic surgery pericardial window. J Thorac Cardiovasc Surg, 2006, 131（4）：921-922.
22. 　Chen YB, Ye W, Yang WT, et al. Uniportal versus biportal video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis. Chin Med J （Engl）, 2009, 122（13）：1525-1528.
23. 　Bouma W, Klinkenberg TJ, Mariani MA. Bilateral single-port thoracoscopic sympathectomy with the VasoView device in the treatment of palmar and axillary hyperhidrosis. Interact Cardiovasc Thorac Surg, 2011, 12（2）：106-109.
24. 　Oka S, Uramoto H, Hanagiri T. Successful extirpation of thoracic pleural lipoma by single-port thoracoscopic surgery. Asian J Surg, 2011, 34（3）：140-142.
25. 　Gonzalez-Rivas D, de la Torre M, Fernandez R, et al. Single-incision video-assisted thoracoscopic right pneumonectomy. Surg Endosc, 2012, [Epub ahead of print] PMID：22234590.
26. 　Gonzalez D, Torre M, Paradela M, et al. Video-assisted thoracic surgery lobectomy：3-year initial experience with 200 cases. Eur J Cardiothorac Surg, 2011, 40（1）：e21- e28.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Advancement and Progress of Single-port Video-assisted Thoracoscopic Surgery in the Treatment of Thoracic Diseases

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