Overcoming the limitations of subxiphoid uniportal video-assisted thoracoscopic surgery and future concerns

There is no dought that video-assisted thoracoscopic surgery (VATS) has been a safe and effective alternative to open surgery with the same or even superior results regarding safety and oncological efficacy in addition to the advantage of being a minimally invasive approach (1). Reduction of ports number up to only one port in a trial to minimize tissue trauma and consequently the postoperative pain has been developed over the past few years either through the intercostal or subxiphoid VATS (SVATS) approaches (2,3).