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

Uniportal video-assisted thoracic surgery (VATS) is the latest advancement in minimally invasive surgery, combining the advantages of triportal thoracoscopic surgery, such as less pain or paresthesia and faster recovery, with optimal cosmetic outcomes. The uniportal access was first described by Marcello Migliore and Gaetano Rocco for minor thoracic procedures like wedge resection (1,2) and nowadays, thanks to the gained experience in the past years, more complex cases are performed hence expanding the indications for single-incision thoracoscopic surgery.