TY - JOUR AU - Bertolaccini, Luca AU - Rocco, Gaetano AU - Viti, Andrea AU - Terzi, Alberto PY - 2013 TI - Geometrical Characteristics of Uniportal VATS JF - Journal of Thoracic Disease; Vol 5, Supplement 3 (August 31, 2013): Journal of Thoracic Disease (Video-assisted thoracoscopic surgery) Y2 - 2013 KW - N2 - In terms of accuracy and efficacy Uniportal Video-Assisted Thoracic Surgery (VATS) resections are comparable to standard VATS. In standard three-ports VATS, the geometric configuration of a parallelogram generates interference with the optical source, creating a plane with a torsion angle not favorable on the flat two-dimensional vision of currently available monitors. The potential advantages of single-port VATS approach include not only the one intercostal space incision (reduction of postoperative pain) but also a translational approach of VATS instruments along a sagittal plane. Accordingly, the Uniportal approach enables VATS instruments to draw two parallel lines on the plane, bringing them to approach the target lesion from a caudo-cranial perspective thus achieving a projective plane. As a consequence, taking advantage of the unique spatial features specific to uniportal VATS, the surgeon is enabled to bring the operative fulcrum inside the chest to address the target lesion in a fashion similar to open surgery. UR - https://jtd.amegroups.org/article/view/1133