Pros-cons debate about the role and evolution of triportal video-assisted thoracic surgery (VATS)

Alessandro Gonfiotti, Andrea Droghetti, Luca Voltolini, Giovanni Muriana, Domenico Viggiano


Recent advances in the field of minimally invasive surgery for the treatment of lung cancer and, in particular, the emergence of the uniportal approach alongside the more “traditional” multiportal approach, have generated an interesting debate. Supporters of the two different techniques have been on the field with the intent of trying to determine what is the best approach to offer to their patients to guarantee them, not only the best technical result, but above all the lower functional impact and effective oncological results. This article explores the necessary and rigorous scientific path to be followed to ensure adequate clinical trials to support one or the other technique to try to reach an objective conclusion of the current debate.