The Geometric an Ergonomic Appeal of Uniportal Video-Assisted Thoracic Surgery

被引:15
作者
Bertolaccini, Luca [1 ]
Rocco, Gaetano [2 ]
Pardolesi, Alessandro [1 ]
Soili, Piergiorgio [1 ]
机构
[1] AUSL Romagna Teaching Hosp, Dept Thorac Surg, Viale Vincenzo Randi 5, Viale Vincenzo Randi 5, I-48121 Ravenna, Italy
[2] IRCCS Pascale Fdn, Div Thorac Surg, Dept Thorac Surg & Med Oncol, IRCCS Ist Nazl Tumori, Via Mariano Semmola 81, I-80131 Naples, Italy
关键词
Lung cancer; Geometry; Ergonomics; Minimally invasive thoracic surgery; Video-assisted thoracic surgery; Uniportal VATS; CELL LUNG-CANCER; THORACOSCOPIC SURGERY; MULTIPLE PORT; VATS; LOBECTOMY; INSTRUMENTS; EXPERIENCE; RESECTION;
D O I
10.1016/j.thorsurg.2017.06.001
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
The geometric characteristics of uniportal video-assisted thoracic surgery (VATS) are known: one small incision without further dissection of the intercostal space with the simultaneous introduction of instruments to the thoracoscope through an ideal circular truncated cone, as wide as a surgeon's fingerbreadth. The perspective of the uniportal VATS approach realizes projective planes that preserve the depth of intraoperative visualization. The instruments, moving along these planes, enable the surgeon to bring the operative. fulcrum inside the chest. Also, the uniportal VATS approach generates an ergonomic advantage during surgery.
引用
收藏
页码:331 / +
页数:9
相关论文
共 21 条
[1]   Uniportal video assisted thoracoscopic lobectomy: going directly from open surgery to a single port approach [J].
Anile, Marco ;
Diso, Daniele ;
Mantovani, Sara ;
Patella, Miriam ;
Russo, Emanule ;
Carillo, Carolina ;
Pecoraro, Ylenia ;
Onorati, Ilaria ;
De Giacomo, Tiziano ;
Rendina, Erino A. ;
Venuta, Federico .
JOURNAL OF THORACIC DISEASE, 2014, 6 :S641-S643
[2]   A state of the art review and categorization of multi-branched instruments for NOTES and SILS [J].
Arkenbout, Ewout A. ;
Henselmans, Paul W. J. ;
Jelinek, Filip ;
Breedveld, Paul .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (06) :1281-1296
[3]   Geometric and ergonomic characteristics of the uniportal video-assisted thoracoscopic surgery (VATS) approach [J].
Bertolaccini, Luca ;
Viti, Andrea ;
Terzi, Alberto ;
Rocco, Gaetano .
ANNALS OF CARDIOTHORACIC SURGERY, 2016, 5 (02) :118-122
[4]   Ergon-trial: ergonomic evaluation of single-port access versus three-port access video-assisted thoracic surgery [J].
Bertolaccini, Luca ;
Viti, Andrea ;
Terzi, Alberto .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2015, 29 (10) :2934-2940
[5]   Geometrical characteristics of uniportal VATS [J].
Bertolaccini, Luca ;
Rocco, Gaetano ;
Viti, Andrea ;
Terzi, Alberto .
JOURNAL OF THORACIC DISEASE, 2013, 5 :S214-S216
[6]   eComment: Single-port video-assisted thoracic surgery resection: the Copernican revolution of a geometrical approach in thoracic surgery? [J].
Bertolaccini, Luca ;
Rizzardi, Giovanna ;
Terzi, Alberto .
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2011, 12 (03) :516-516
[7]   Transition from multiple port to single port video-assisted thoracoscopic anatomic pulmonary resection: early experience and comparison of perioperative outcomes [J].
French, Daniel G. ;
Thompson, Calvin ;
Gilbert, Sebastien .
ANNALS OF CARDIOTHORACIC SURGERY, 2016, 5 (02) :92-99
[8]   "Ipsilateral, high, single-hand, sideways"-Ruijin rule for camera assistant in uniportal video-assisted thoracoscopic surgery [J].
Gao, Taotao ;
Xiang, Jie ;
Jin, Runsen ;
Zhang, Yajie ;
Wu, Han ;
Li, Hecheng .
JOURNAL OF THORACIC DISEASE, 2016, 8 (10) :2952-2955
[9]   Thoracoscopic Lobectomy for Non-small Cell Lung Cancer [J].
Gaudet, Matthew A. ;
D'Amico, Thomas A. .
SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA, 2016, 25 (03) :503-+
[10]   Single-port video-assisted thoracoscopic lobectomy [J].
Gonzalez, Diego ;
Paradela, Marina ;
Garcia, Jose ;
de la Torre, Mercedes .
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2011, 12 (03) :514-515