Management of Intraoperative Difficulties During Uniportal Video-Assisted Thoracoscopic Surgery.

Scarci M, Gonzalez-Rivas D, Schmidt J, Bedetti B

Thorac Surg Clin. 2017 Nov;27(4):339-346


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.