Xiphoideusal Single Port Lobectomy

Thoracoscopic lobectomy is a common procedure that can significantly reduce invasiveness. Single port thoracoscopic lobectomy is also widely used in many hospitals. After completing seven lobectomy cases using a xiphoideusal single port approach, the authors believe that invasiveness can be even further reduced. The indications for a xiphoideusal single port approach are the same as for traditional VATS. There were no special complications in the patients treated by the authors. All patients walked the day after surgery, and none needed analgesic medication. The average hospital stay was four days (the same as for traditional VATS).

This video demonstrates a trans-xiphoideusal single port lobectomy in a 52-year-old female patient. A CT scan five years prior showed a node in her right middle lobe, and a recent scan showed that the node had increased in size. The authors considered the disease to be benign and recommended surgery. The final diagnosis was pulmonary sclerosing hemangioma.