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J Thorac Dis. 2014 Jan;6(1):14-21. doi: 10.3978/j.issn.2072-1439.2013.12.43.

Single-port video-assisted thoracoscopic surgery for lung cancer.

Author information

1
Faculty of medicine, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan ; ; Division of Thoracic Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan ; ; Division of Thoracic Surgery, Department of Surgery, Koo-Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan.
2
Faculty of medicine, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan ; ; Division of Thoracic Surgery, Department of Surgery, Taipei Hospital, Ministry of Health and Welfare, New Taipei City, Taiwan ; ; Division of Thoracic Surgery, Department of Surgery, Koo-Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan.
3
Faculty of medicine, School of Medicine, National Yang-Ming University, Taipei 112, Taiwan ; ; Division of Thoracic Surgery, Department of Surgery, Koo-Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan.

Abstract

In 2004, novel results using pulmonary wedge resection executed through single-port video-assisted thoracoscopic surgery (VATS) was first described. Since that time, single-port VATS has been advocated for the treatment of a spectrum of thoracic diseases, especially lung cancer. Lung cancer remains one of the top three cancer-related deaths in Taiwan, and surgical resection remains the "gold standard" for early-stage lung cancer. Anatomical resections (including pneumonectomy, lobectomy, and segmentectomy) remain the primary types of lung cancer surgery, regardless of whether conventional open thoracotomy, or 4/3/2-ports VATS are used. In the past three years, several pioneers have reported their early experiences with single-port VATS lobectomy, segmentectomy, and pneumonectomy for lung cancer. Our goal was to appraise their findings and review the role of single-port VATS in the treatment of lung cancer. In addition, the current concept of mini-invasive surgery involves not only smaller resections (requiring only a few incisions), but also sub-lobar resection as segmentectomy. Therefore, our review will also address these issues.

KEYWORDS:

Lobectomy; lung cancer; segmentectomy; single-port; video-assisted thoracoscopic surgery (VATS)

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