Question

Uni-portal VATS lobectomy.

Hint:

Uni-portal VATS lobectomy is an excellent option for patients requiring lobectomy but seeking minimal invasiveness, offering quick recovery and reduced postoperative discomfort.

Answer 1

Uni-portal video-assisted thoracoscopic surgery (VATS) lobectomy is a minimally invasive procedure used to remove a lung lobe for the treatment of lung cancer, emphysema, or other lung diseases. It involves making a single small incision, usually about 3-4 cm in size, through which the surgeon inserts a thoracoscope (camera) and instruments to perform the surgery.
Step 1: Technique:
In uni-portal VATS lobectomy, the procedure is performed through a single incision, typically at the 5th or 6th intercostal space. The surgeon introduces the thoracoscope and other surgical instruments through this single incision. The lung is resected by carefully removing the affected lobe, while minimizing damage to surrounding tissues.
Step 2: Indications:
Uni-portal VATS lobectomy is typically indicated for:
- Lung Cancer: It is commonly performed for early-stage non-small cell lung cancer (NSCLC) when the tumor is located in one lobe of the lung.
- Benign Lung Disease: It can also be used for benign lung diseases such as emphysema or bronchiectasis when a lung lobe requires removal.
- Other Thoracic Diseases: Occasionally, it is used for other thoracic conditions such as pulmonary metastases.
Step 3: Advantages:
- Reduced Recovery Time: As the surgery is minimally invasive, recovery time is significantly reduced compared to traditional open lobectomy.
- Smaller Incision: The smaller incision results in less postoperative pain and better cosmetic outcomes.
- Shorter Hospital Stay: Most patients can go home within 2-3 days after the surgery.
- Improved Postoperative Function: Shorter recovery times allow for better postoperative lung function and faster return to normal activities.