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DOI: 10.1055/a-2652-7894
Single-Incision Thoracoscopic Surgery using Spinal Needle Anchoring
Autor*innen
Abstract
Single-incision thoracoscopic surgery (SITS) for primary spontaneous pneumothorax offers advantages over multiport video-assisted thoracoscopic surgery, but lesion retraction remains challenging. We describe a modified SITS technique using spinal needle anchoring for precise lung stabilization. A bent spinal needle inserted through an intercostal space mimics a second-port grasper, enabling multiple re-hooking maneuvers for optimal lesion alignment. This technique allows for a smaller incision, minimizes instrument crowding, and reduces postoperative pain. The needle insertion site leaves no visible scar. Additionally, it is beneficial in cases with multiple bullae or challenging lung anatomy. Spinal needle anchoring may represent a simple and effective modification of the SITS technique.
Keywords
thoracoscopy/VATS - pneumothorax - minimally invasive surgery - single-incision thoracoscopic surgeryData Availability Statement
All relevant data are within the manuscript and the accompanying figures and videos.
Ethical Approval Statement
Written informed consent was obtained from all patients for the publication of this technique and related images.
Publikationsverlauf
Eingereicht: 11. März 2025
Angenommen: 08. Juli 2025
Accepted Manuscript online:
11. Juli 2025
Artikel online veröffentlicht:
31. Juli 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
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References
- 1 Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg 2004; 77 (02) 726-728
- 2 Gonzalez D, Paradela M, Garcia J, Dela Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg 2011; 12 (03) 514-515
- 3 Vieira A, Bourdages-Pageau E, Kennedy K, Ugalde PA. The learning curve on uniportal video-assisted thoracic surgery: An analysis of proficiency. J Thorac Cardiovasc Surg 2020; 159 (06) 2487-2495.e2
- 4 Masmoudi H, Etienne H, Sylvestre R. et al. Three hundred fifty-one patients with pneumothorax undergoing uniportal (single port) video-assisted thoracic surgery. Ann Thorac Surg 2017; 104 (01) 254-260
- 5 Assouad J, Vignes S, Nakad J, Grunenwald D. Single incision video-assisted thoracic surgery using a laparoscopic port. Ann Thorac Surg 2011; 91 (06) 2020-2021 , author reply 2021
- 6 Mogi A, Yamaki E, Kosaka T, Asao T, Kuwano H. Thoracoscopic wedge resection through a single incision using a thin puncture device. Ann Thorac Cardiovasc Surg 2014; 20 (03) 198-201
- 7 Son BS, Kim DH, Lee SK, Kim CW. Small single-incision thoracoscopic surgery using an anchoring suture in patients with primary spontaneous pneumothorax: A safe and feasible procedure. Ann Thorac Surg 2015; 100 (04) 1224-1229
- 8 Chong Y, Cho HJ, Kang SK. et al. Outcomes of the Tower Crane Technique with a 15-mm trocar in primary spontaneous pneumothorax. Korean J Thorac Cardiovasc Surg 2016; 49 (02) 80-84
- 9 Lee SH, Lee SG, Cho SH, Song JW, Kim DH. Outcomes of single-incision thoracoscopic surgery using the spinal needle anchoring technique for primary spontaneous pneumothorax. J Chest Surg 2022; 55 (01) 44-48