Uniportal VATS Right Lower Lobectomy and Lymphadenectomy: Step-by-Step

Uniportal VATS resection, done through a single port, adds advantages over multiport VATS approaches regarding pain and cosmesis, yet some surgeons do not adopt it as they fear difficulty manipulating multiple instruments in the same port with the camera. The authors present a case of right lower lobe lobectomy for adenocarcinoma with a step-by-step approach, in which they demonstrate how to use advanced instrumentation in uniportal VATS in order to decrease the number of instruments used and to achieve the best exposure inside the chest.

This video demonstrates the case of a 59-year-old female patient who complained of cough and expectoration of whitish sputum for 4 months. She sought medical advice many times with no improvement of her condition. Imaging studies showed a malignant-appearing right lower lobe mass with no apparent mediastinal lymph nodes. She underwent a uniportal VATS right lower lobectomy and lymphadenectomy through a 3 cm port incision in the right 5th intercostal space in the midaxillary line. The tumor pathology showed a pT1N0M0 R0 adenocarcinoma.