Uniportal video-thoracoscopic mediastinal lymphadenectomy

Systemic mediastinal lymphadenectomy has a key role in lung cancer surgery, as it permits to define the pathological staging and therefore the treatment and the prognosis of the patients. Currently the video-assisted thoracoscopic approach is the most common technique to remove these tumours, if technically feasible. Particularly the uniportal approach provides with the best anatomic instrumentation and a direct view. In this paper, we describe our technique to perform a safe an effective radical mediastinal lymphadenectomy.