Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques

Twenty years have passed since uniportal video-assisted thoracoscopic surgery (VATS) was first reported. Several reports have already proven the minimal invasiveness of uniportal VATS. In addition, two large clinical trials recently demonstrated the benefits of segmentectomy for small peripheral ear...

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Bibliographic Details
Published in:Cancers 2024-06, Vol.16 (13), p.2343
Main Authors: Watanabe, Takuya, Tanahashi, Masayuki, Suzuki, Eriko, Yoshii, Naoko, Kohama, Takuya, Iguchi, Kensuke, Endo, Takumi
Format: Article
Language:English
Subjects:
Clinical trials
Early experience
Invasiveness
Learning curves
Localization
Lung cancer
Lymph nodes
Lymphatic system
Medical prognosis
Medical screening
Non-small cell lung carcinoma
Ostomy
Patients
Pulmonary arteries
Small cell lung carcinoma
Success
Surgeons
Surgery
Thoracic surgery
Tumors
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Summary:Twenty years have passed since uniportal video-assisted thoracoscopic surgery (VATS) was first reported. Several reports have already proven the minimal invasiveness of uniportal VATS. In addition, two large clinical trials recently demonstrated the benefits of segmentectomy for small peripheral early-stage non-small cell lung cancer. Uniportal VATS segmentectomy is considered the most beneficial minimally invasive surgery for patients with early-stage lung cancer. However, a high level of skill and experience are required to achieve this goal. Only a few reports have discussed specific techniques, particularly for complex segmentectomies. In this Special Issue, we reviewed previous reports on uniportal VATS segmentectomy regarding the indications, instrument selection, marking of the tumor location, methods of intersegmental plane identification, and lymph node dissection, including our own techniques with video content.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers16132343