Skip to main content
SpringerLink
Log in

Uniportal video-assisted thoracoscopic surgery for pediatric cases

  • How to Do It
  • Published:
General Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

The potential advantages of video-assisted thoracoscopic surgery (VATS) for children include better cosmetic outcomes and reduced risk of postoperative musculoskeletal deformities. The uniportal approach is expected to promote minimally invasive surgery and help reduce the incidence of postoperative musculoskeletal deformities. Uniportal VATS was performed safely in three children (mean age of 23.3 months) with congenital pulmonary airway malformation or extralobar pulmonary sequestration. Our findings suggest that minimally invasive lobectomy may be achieved through uniportal VATS in children.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

Data availability

The data that support the findings of this study are not openly available due to reasons of sensitivity and are available from the corresponding author upon reasonable request. Data are located in controlled access data storage at Fujita Health University Okazaki Medical Center.

References

  1. Harris CG, James RS, Tian DH, Yan TD, Doyle MP, Gonzalez-Rivas D, et al. Systematic review and meta-analysis of uniportal versus multiportal video-assisted thoracoscopic lobectomy for lung cancer. Ann Cardiothorac Surg. 2016;5(2):76–84.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Gonzalez-Rivas D, Marin JC, Granados JPO, Llano JDU, Cañas SR, Arqueta AO, et al. Uniportal video-assisted thoracoscopic right upper sleeve lobectomy and tracheoplasty in a 10-year-old patient. J Thorac Dis. 2016;8(9):E966–9.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Suda T, Nagano H, Negi T, Tochii D, Tochii S. Lateral approach using grasping technic for uniportal major lung resection. Gen Thorac Cardiovasc Surg. 2022;70(1):104–6.

    Article  PubMed  Google Scholar 

  4. Becmeur F, Jamali RR, Moog R, Keller L, Christmann D, Donato L, et al. Thoracoscopic treatment for delayed presentation of congenital diaphragmatic hernia in the infant. A report of three cases. Surg Endosc. 2001;15(10):1163–6.

    Article  CAS  PubMed  Google Scholar 

  5. Adams S, Jobson M, Sangnawakij P, Heetun A, Thaventhiran A, Johal N, et al. Does thoracoscopy have advantages over open surgery for asymptomatic congenital lung malformations? An analysis of 1626 resections. J Pediatr Surg. 2017;52(2):247–51 (Epub 2016 Nov 13).

    Article  PubMed  Google Scholar 

  6. Xie J, Wu Y, Wu C. Is thoracoscopy superior to thoracotomy in the treatment of congenital lung malformations? An updated meta-analysis. Ther Adv Respir Dis. 2020. Jan-Dec;14:

  7. Makita S, Kaneko K, Ono Y, Uchida H. Risk factors for thoracic and spinal deformities following lung resection in neonates, infants, and children. Surg Today. 2017;47(7):810–4.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

None declared.

Funding

None declared.

Author information

Authors and Affiliations

  1. Department of Thoracic Surgery, Fujita Health University Okazaki Medical Center, 1, Gotanda, Harisaki, Okazaki, Aichi, Japan

    Takahiro Negi, Hiromitsu Nagano, Daisuke Tochii, Sachiko Tochii & Takashi Suda

Authors
  1. Takahiro Negi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hiromitsu Nagano
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Daisuke Tochii
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Sachiko Tochii
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takashi Suda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Takashi Suda.

Ethics declarations

Conflict of interest

None declared.

Ethics approval

This study was approved by the ethics committee of Fujita Health University (approval number: HM20-438).

Informed consent

Written informed consent was obtained from all patients.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1Video 1 Uniportal VATS with left upper lobectomy, S6 segmentectomy. A 2.5 cm incision was made on the sixth intercostal midaxillary line, and all surgical manipulations were performed through the incision. The pulmonary vessels were ligated and clipped. Upper lobe bronchi were dissected with a stapler; B6 was ligated and dissected. Intersegmental planes were separated with a stapler (MPG 266082 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Negi, T., Nagano, H., Tochii, D. et al. Uniportal video-assisted thoracoscopic surgery for pediatric cases. Gen Thorac Cardiovasc Surg 72, 144–147 (2024). https://doi.org/10.1007/s11748-023-01965-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-023-01965-0

Keywords

Search

Navigation