Maqueda Luciano Bulgarelli, Falcón Ricardo A J Luengo, Tsai Chiao-Yun, García-Pérez Alejandro, Minasyan Anna, Gonzalez-Rivas Diego
Department of Thoracic Surgery, Uniportal VATS Training Program, Shanghai Pulmonary Hospital, Tongji University, Shanghai, China.
Department of Cardiothoracic Surgery, Hospital Córdoba, Universidad Nacional de Córdoba, Córdoba, Argentina.
J Clin Transl Res. 2020 Sep 2;6(4):135-144. eCollection 2020 Oct 29.
The use of video-assisted thoracic surgery (VATS) as an approach for early-stage lung cancer treatment has revealed benefits compared to open surgery by minimizing trauma to the patients. This trend has brought the evolution of VATS to less and less invasive methods, eventually leading to the development of Uniportal VATS (UniVATS) technique. This new approach has shown to be resourceful, proving its feasibility even for complex oncological procedures. Furthermore, data is starting to express some benefits over multiport VATS, thus spurring on its development towards newer and more complex procedures. It is also been adopted by the surgical community achieving fast evolution and worldwide diffusion. Here, we review the evolution of UniVATS, its current state of evidence, some basic technical aspects, the present role it has in lung cancer treatment and the ongoing development of the technique.
This article could help patients to understand how the UniVATS technique developed as part of the evolution of VATS, sharing its benefits and indications. Furthermore, patients would be able to understand technical aspects and the current applications of UniVATS for lung cancer treatment.
与开放手术相比，电视辅助胸腔镜手术（VATS）作为早期肺癌治疗方法，通过将对患者的创伤降至最低而显示出优势。这种趋势使VATS不断向侵入性更小的方法发展，最终导致单孔VATS（UniVATS）技术的出现。这种新方法已证明是有效的，即使对于复杂的肿瘤手术也证明了其可行性。此外，数据开始显示出它比多孔VATS有一些优势，从而推动其朝着更新、更复杂的手术发展。它也已被外科界采用，实现了快速发展和全球传播。在此，我们回顾了UniVATS的发展历程、其目前的证据状况、一些基本技术方面、它在肺癌治疗中的当前作用以及该技术的持续发展。
本文可以帮助患者了解UniVATS技术是如何作为VATS发展的一部分而发展起来的，分享其优势和适应症。此外，患者将能够了解UniVATS在肺癌治疗中的技术方面和当前应用。
