Subxiphoid uniportal video-assisted thoracoscopic surgery in lung cancer resection

Samer Al Sawalhi, Lei Jiang


Exponential advances in surgical technology have enabled moving to less invasive technique. Achievement of radical resection whatever the chosen approach is the fundamental integral part of oncological surgical principles. In 2014, Liu et al. (1) described the first uniportal video-assisted thoracoscopic surgery (VATS) lobectomy through subxiphoid incision harnessing that to decrease pain score by avoidance a traumatic insult to the intercostal nerve. Subxiphoid access is a novel approach for unilateral or bilateral lung tumor resection. The subxiphoid approach is safe, oncological achievable, it can alleviate postoperative pain and reduce hospital stay (2). Furthermore, it allows patients to resume physical activity quicker, which makes this approach preferable in selected patients.