Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques

Simple Summary Uniportal video-assisted thoracoscopic segmentectomy is one of the most minimally invasive surgeries for early-stage lung cancer. However, mastering this technique requires high levels of skill and experience, especially in complex cases. This article reviews previous research on uniportal video-assisted thoracoscopic segmentectomy, including indications, instrument selection, tumor marking, intersegmental plane identification, lymph node dissection, and surgical videos.Abstract Twenty years have passed since uniportal video-assisted thoracoscopic surgery (VATS) was first reported. Several reports have already proven the minimal invasiveness of uniportal VATS. In addition, two large clinical trials recently demonstrated the benefits of segmentectomy for small peripheral early-stage non-small cell lung cancer. Uniportal VATS segmentectomy is considered the most beneficial minimally invasive surgery for patients with early-stage lung cancer. However, a high level of skill and experience are required to achieve this goal. Only a few reports have discussed specific techniques, particularly for complex segmentectomies. In this Special Issue, we reviewed previous reports on uniportal VATS segmentectomy regarding the indications, instrument selection, marking of the tumor location, methods of intersegmental plane identification, and lymph node dissection, including our own techniques with video content.