The use of video-assisted thoracic surgery (VATS) as an approach for early stage lung cancer treatment has revealed benefits compared to open surgery by minimizing trauma to the patients. This trend has brought the evolution of VATS to less and less invasive methods, eventually leading to the development of Uniportal VATS (UniVATS) technique. This new approach has shown to be resourceful, proving its feasibility even for complex oncological procedures. Furthermore, data is starting to express some benefits over multiport VATS, thus spurring on its development towards newer and more complex procedures. It’s also been adopted by the surgical community achieving fast evolution and worldwide diffusion. Here we review the evolution of UniVATS, its current state of evidence, some basic technical aspects, the present role it has in lung cancer treatment and the ongoing development of the technique.
Relevance for patients: This article could help patients to understand how the UniVATS technique developed as part of the evolution of VATS, sharing its benefits and indications. Furthermore, patients would be able to understand technical aspects and the current applications of UniVATS for lung cancer treatment.
1. Uniportal VATS Training Program, Thoracic Surgery Department, Shanghai Pulmonary Hospital, Tongji University, 200433 Shanghai, China
2. Thoracic Surgery Department, Coruña University Hospital, Coruña, Spain
3. Department of Thoracic Surgery, Chung Shan Medical University Hospital, Taichung, Taiwan
4. Department of Cardiothoracic Surgery, Hospital Córdoba, Universidad Nacional de Córdoba, Córdoba, Argentina
Luciano Bulgarelli Maqueda
Uniportal VATS Training Program, Thoracic Surgery Department, Shanghai Pulmonary Hospital, Tongji University, 200433 Shanghai, China Department of Cardiothoracic Surgery, Hospital Córdoba, Universidad Nacional de Córdoba, Ituzaingó 560, Ciudad, Córdoba, Argentina
Tel: +5493516106832 E-mail:
Oncologic Group for the Study of Lung Cancer, Spanish Radiation Oncology Society
Radiation Oncology Department, Hospital Universitario Quirónsalud Madrid; Hospital La Luz, Madrid; Universidad Europea de Madrid, Spain