Perna Valerio, Torrecilla Juan A, Carvajal Angel F, Mora Luís Carlos, Gigirey Orlando, Cano Paulo, Perello Silvia, Diaz Rosa
Department of Thoracic Surgery, Hospital Universitario Son Espases Carretera de Valldemossa, Palma, Spain.
Department of Anesthetist, Hospital Universitario Son Espases Carretera de Valldemossa, Palma, Spain.
J Vis Surg. 2016 Sep 19;2:160. doi: 10.21037/jovs.2016.09.04. eCollection 2016.
Uniportal video-assisted thoracoscopic surgery (VATS) lobectomy is now well established and performed all around the world. We are going to share the surgical technique for uniportal VATS right upper lobectomy based on our experience. A 62-year-old patient underwent Uniportal VATS right upper lobectomy for a primary non-small cell lung cancer (NSCLC). Our patient had no perioperative complications and was then discharged to his home on postoperative day 4. The patient's pain was managed with a paravertebral catheter during the first 48 hours and then with oral analgesics. Pathology report: well-differentiated adenocarcinoma; the size of the tumour was 1 cm × 0.8 cm × 1 cm; all margins were negative for residual tumour. The patient did not require adjuvant radiation or chemotherapy. Uniportal VATS lobectomy is a safe and effective procedure providing a favourable clinical outcome in the patient.
单孔电视辅助胸腔镜手术（VATS）肺叶切除术目前已得到广泛认可，并在全球范围内开展。我们将根据自身经验分享单孔VATS右上肺叶切除术的手术技巧。一名62岁的患者因原发性非小细胞肺癌（NSCLC）接受了单孔VATS右上肺叶切除术。我们的患者没有围手术期并发症，术后第4天出院回家。患者在术后的头48小时通过椎旁导管控制疼痛，之后使用口服镇痛药。病理报告：高分化腺癌；肿瘤大小为1 cm×0.8 cm×1 cm；所有切缘均无肿瘤残留。患者无需辅助放疗或化疗。单孔VATS肺叶切除术是一种安全有效的手术方法，为患者提供了良好的临床结局。
