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Abstract
Background: The acceptance of uniportal video-assisted thoracic surgery (VATS) for minor and major
thoracic procedures is growing in all of the world. This study presents the first experience with pulmonary
lobectomy by modified uniportal VATS (i-VATS) at HCMC oncology hospital in Viet Nam.
Methods: In a retrospective study of prospectively collected data, between 12/2016 and 4/2018,
39 patients who undergone lobectomy by modified uniportal VATS (i-VATS) were analyzed. The
techniques were used for anatomical lobectomies. All procedures were performed without rib spreading.
Patients’demographic data, preoperative and postoperative management as well as results were analyzed.
Results: A total of 30 patients, among them16 patients (53%) were males. The mean age was 54.4 ± 11.9
(25-72) years. The i-VATSprocedures included right upper lobectomy (RUL) in 11 cases, midle lobectomy
(ML) in 3 cases, right lower lobectomy (RLL) in 12 cases, left upper lobectomy (LUL) in 6 cases, left lower
lobectomy (LLL) in 5 cases, and bilobectomy in 2 cases. The medianoperation time was 220±86 minutes
for the operations completed by VATS and 243± 92 minutes for converted cases. There were 9 cases
undergoneconversions due to advanced disease, bleeding, without fissure and permanent lung collapse. The
mean chest tube duration was 3 days. The mean hospitalstay was 4-5 days for the whole group.
Conclusions: Pulmonary lobectomy by modified Uniportal VATS is a feasible and safe technique for
various indications in thoracic surgery.The perioperative results are promising. It can be performed by
thoracic surgeons experienced in thelateral thoracotomy approach.
Keywords: Video-assisted thoracic surgery (VATS); uniportal VATS; single-port thoracic surgery
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