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Uniportal VATS: A Modern Approach to Thoracic Surgery

Explore the increased popularity of uniportal video-assisted thoracic surgery (VATS) at Acibadem University Medical School's Thoracic Surgery Department in Istanbul. Learn about its advantages, disadvantages, and applications in thoracic procedures. Discover the benefits of local or general anesthesia, single lung ventilation, and optimal pain control methods.

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Uniportal VATS: A Modern Approach to Thoracic Surgery

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  1. Uniportal VATS Applications ErdalOkur ThoracicSurgeryDep., AcibademUniversityMedical School, Istanbul

  2. Increasedpopularity of minimal invasivesurgery • Inthorax, • Thoracoscopy • videothoracoscopy • video-assistedthoracicsurgery • VATS

  3. Thoracotomy

  4. 3-4 port VideoAssistedThoracicSurgery

  5. Uniportal VATS

  6. Method

  7. Anesthesia - Localor general - Singlelungventilation

  8. Paincontrol • Pre-emptive local anesthesia • Post-procedurelocal anesthesia • Parenteralanalgesicwhilechesttube is in place

  9. 2013 Inyear 2017, morethan 1000 uniportal VATS cases

  10. Advantages • Lookingstraighttooperativefield as in opensurgery • Singleincision- singleintercostalnervedamage- lesspain - Bettercosmesis Disadvantages -Instrumentswording

  11. Conclusion Most of allthoracicsurgeryprocedures can be performedby uniportal VATS Uniportal VATS is lessinvasive but as effective as classical 3-4 port VATS

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