[Uniportal Pulmonary and Mediastinal Video-assisted Thoracic Surgery Procedure].

In recent years, uniportal video-assisted thoracoscopic surgery, which performs all surgical procedures from 1 wound, has been spreading for the purpose of performing less invasive surgery. The uniportal surgery requires a device because it interferes with instruments, but is a surgical technique that is cosmetically excellent and can be expected to reduce postoperative pain. This new minimally invasive surgical technique is now widely spread, especially in Asia and Europe. In addition, uniportal surgery using the subxiphoid approach has attracted attention. This method has an advantage that intercostal neuropathy does not occur because it does not pass through the intercostal space, and is a useful method for patients. These uniportal surgery is expected to be further developed as a new minimally invasive surgery. In the future, it is necessary to develop more operable devices and instruments, including robot systems, and to prove the usefulness of uniportal surgery.