Uniportal video-assisted thoracic surgery treatment of intra-operative complications.

Abstract

Background: The uniportal video-assisted thoracic surgery (U-VATS) approach is rapidly gaining attention. Still there is lack of gross engagement to this technique, even within the VATS surgeons. We believe that the uniportal approach needs the same attention as any newly introduced skill; it would be a great mistake to be considered as a simple variation of the standardised multi-portal VATS.

Methods: We have evaluated personal and institutional experience, supported by international bibliography. Factors that could influence complications have been searched. Factors have been split to operator-related and patient-related.

Results: We have identified a series of preventable complications. The operator-related ones, need addressing prior to engagement to surgery. A well-structured team led by the surgeon functions in benefit of the patient. A wise and skilled surgeon in synergy with the surgical team can be prepared to resolve the most common presented challenges.

Conclusions: Our collected experience may be a guide to facilitate the U-VATS journey.