Management of Intraoperative Difficulties During Uniportal Video-Assisted Thoracoscopic Surgery

Thorac Surg Clin. 2017 Nov;27(4):339-346. doi: 10.1016/j.thorsurg.2017.06.002. Epub 2017 Aug 10.

Abstract

The learning curve of the uniportal video-assisted thoracoscopic surgery (VATS) approach is linked to a larger rate of intraoperative complications, which can lead to an emergency conversion to thoracotomy. Despite technical advancements and the large number of surgical videos posted on specialized websites, live surgery events and experimental courses have significantly contributed to accelerate the learning and evolution of minimally invasive thoracic surgery. Bleeding and other complications are the most dreaded event for many VATS surgeons. This article analyzes possible major intraoperative complications during uniportal VATS and explains how to manage them effectively and safely.

Keywords: Intraoperative bleeding; Intraoperative complications; Troubleshooting; Uniportal VATS.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Blood Vessels / injuries*
  • Hemorrhage / therapy*
  • Humans
  • Intraoperative Complications / therapy*
  • Minimally Invasive Surgical Procedures
  • Pneumonectomy / adverse effects*
  • Thoracic Surgery, Video-Assisted / adverse effects*
  • Thoracotomy