Thoracoscopic Sleeve Lobectomy after Chemotherapy (Single-port VATS)

In this video we show a complex RUL tumor resection and bronchial reconstruction by means of a Uniportal VATS sleeve technique. Since we developed the uniportal technique for VATS lobectomies in 2010 we have increased the application of this technique to more than 95% of cases in our routine surgical practice. The experience we acquired with the uniportal technique during the last years, as well as technological improvements in high definition cameras,development of new instruments, vascular clips and more angulated staplers have made this approach safer, incrementing the indications for single-port thoracoscopic resections. We believe it is important to minimize the surgical aggressiveness especially in advanced stage lung cancer patients where the immune system is weakened by the disease or by induction treatments. The minimally invasive surgery represents the least aggressive form to operate lung cancer and the single-port or uniportal technique is the final evolution in these minimally invasive surgical techniques.

Dr Diego Gonzalez Rivas