Article Abstract

Recommendations for camera-holding during single-port video-assisted thoracoscopic lobectomy for non-small cell lung cancer

Authors: Guobing Xu, Hao Chen, Bin Zheng, Wei Zheng, Yong Zhu, Zhaohui Guo, Chun Chen


Background: To summarize experience in coordinating the camera during single-port video-assisted thoracoscopic (VAT) lobectomy.
Methods: Between May 2014 and June 2016 the author participated in 82 consecutive single-port VAT lobectomies as the camera holder. The peri-operative data were collected, the operative coordinating experience, and solutions to technical difficulties are summarized based on the characteristics of the single-port VAT technique.
Results: All cases were completed uneventfully. The study cohort consisted of 35 males and 47 females with an average age of 59.0±10.5 y. The tumor was located in the right upper lobe in 26 patients, the right middle lobe in 4 patients, the right lower lobe in 16 patients, the left upper lobe in 21 patients, the left lower lobe in 7 patients, and a combination of lobes in 8 patients. The average tumor diameter was 2.0±1.2 cm. The average operative time and blood loss were 178.6±41.0 min and 84.0±95.7 mL, respectively. The post-operative pathologic results were as follows: (IA) n=56; (IB) n=13; (IIA) n=1; (IIB) n=4; and (IIIA) n=8. The average number and stations of lymph nodes dissected were 16.8±8.2 and 5.7±1.9, respectively.
Conclusions: In addition to the skillful manipulation of the surgeon, excellent coordination and rapid reactions of the camera holder are important for the successful completion of single-port VAT lobectomy.