Uniportal VATS in Asia.

The history of uniportal Video-assisted thoracic surgery (VATS) stretches back almost a decade with the treatment of simple thoracic conditions. As the technique matures with increasing ability to tackle the full spectrum of thoracic surgical diseases, most notably major lung resections for lung tumours, the spread of uniportal VATS across the globe has been phenomenal. VATS centres in Asia are now performing uniportal VATS, and developing their individual styles and techniques with great successes. The enthusiasm from surgeons, demand from patients, as well as the dynamism and diversity of uniportal VATS in the region have helped fuel this excitement and change. The 1st Asian Single Port VATS Symposium in 2013 heralded the beginning of academic exchange between uniportal VATS centres in Asia and experts from around the world. Wetlabs in the region will provide further training for thoracic surgeons interested in super-specializing in uniportal VATS. The future of this approach will hinge on good regional collaboration, research and training.

[1]  M. Paradela,et al.  Single-port video-assisted thoracoscopic lobectomy. , 2011, Interactive cardiovascular and thoracic surgery.

[2]  S. Lee,et al.  Technical aspects of single-port thoracoscopic surgery for lobectomy , 2012, Journal of Cardiothoracic Surgery.

[3]  C. Ng,et al.  Minimizing single-port access in video-assisted wedge resection, with a hookwire , 2013, Asian cardiovascular & thoracic annals.

[4]  A. Arifi,et al.  Thoracotomy Is Associated With Significantly More Profound Suppression in Lymphocytes and Natural Killer Cells Than Video-Assisted Thoracic Surgery Following Major Lung Resections for Cancer , 2005, Journal of investigative surgery : the official journal of the Academy of Surgical Research.

[5]  G. Rocco,et al.  Uniportal VATS for mediastinal nodal diagnosis and staging. , 2006, Interactive Cardiovascular and Thoracic Surgery.

[6]  A. Sihoe,et al.  Quality of life following lung cancer resection: video-assisted thoracic surgery vs thoracotomy. , 2002, Chest.

[7]  K Shimizu,et al.  Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy. , 2000, The Annals of thoracic surgery.

[8]  N. Nesher,et al.  [Videothorascopic sympathectomy (VATS) for palmar hyperhidriosis:summary of a clinical trial and surgical results]. , 2000, Harefuah.

[9]  向阳 Xiangyang 初 CHU,et al.  单操作孔胸腔镜肺叶切除术的初步报道 , 2010, Zhongguo fei ai za zhi = Chinese journal of lung cancer.

[10]  Zhong-hua Xu,et al.  Uniportal versus biportal video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis. , 2009, Chinese medical journal.

[11]  G. Rocco,et al.  Evolution in surgical approach and techniques for lung cancer , 2013, Thorax.

[12]  D. González-Rivas,et al.  Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. , 2012, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[13]  A. Arifi,et al.  The impact of thoracic surgical access on early shoulder function: video-assisted thoracic surgery versus posterolateral thoracotomy. , 2003, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[14]  T. Shinkai,et al.  Comparison in prognosis after VATS lobectomy and open lobectomy for stage I lung cancer , 2007, Surgical Endoscopy.

[15]  A. Yim,et al.  Thoracoscopic Surgery for Pulmonary Tuberculosis , 1999, World Journal of Surgery.

[16]  A. Ho,et al.  Angiogenic Response to Major Lung Resection for Non-Small Cell Lung Cancer with Video-Assisted Thoracic Surgical and Open Access , 2012, TheScientificWorldJournal.

[17]  M. Çalık,et al.  Early and Midterm Results of Single-Port Video-Assisted Thoracoscopic Sympathectomy , 2012, Thoracic and Cardiovascular Surgeon.

[18]  A. Arifi,et al.  VATS lobectomy reduces cytokine responses compared with conventional surgery. , 2000, The Annals of thoracic surgery.

[19]  A. Lacy,et al.  Is Minimal Access Surgery for Cancer Associated with Immunologic Benefits? , 2005, World Journal of Surgery.

[20]  Gaetano Rocco,et al.  Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. , 2005, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[21]  B. Tander,et al.  Balloon-assisted single-port thoracoscopic debridement in children with thoracic empyema. , 2007, Journal of laparoendoscopic & advanced surgical techniques. Part A.

[22]  M. Underwood,et al.  Video-assisted thoracic surgery lobectomy for lung cancer is associated with less immunochemokine disturbances than thoracotomy. , 2007, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[23]  A. Yim,et al.  Thoracoscopic major lung resections: an Asian perspective. , 1998, Seminars in thoracic and cardiovascular surgery.

[24]  Gaetano Rocco,et al.  Uniportal VATS wedge pulmonary resections. , 2004, The Annals of thoracic surgery.

[25]  A. Yim,et al.  Tai Ji: the law of inflammatory response. , 2002, The Journal of thoracic and cardiovascular surgery.

[26]  Pin-Ru Chen,et al.  Single-incision thoracoscopic surgery for primary spontaneous pneumothorax , 2011, Journal of cardiothoracic surgery.

[27]  A. Yim.  VATS major pulmonary resection revisited--controversies, techniques, and results. , 2002, The Annals of thoracic surgery.

[28]  M. Hiratsuka,et al.  Video-assisted thoracoscopic surgery lobectomy for c-T1N0M0 primary lung cancer: its impact on locoregional control. , 2006, The Annals of thoracic surgery.