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. 2018 Mar;10(Suppl 4):S564–S570. doi: 10.21037/jtd.2018.01.157

Table 1. Recommendations and suggestion for intraoperative management during VATS lobectomy are schematized.

Field of application Recommendation
Access/trocar numbers VATS-U >> VATS standard (2/3 ports)
Parenchymal mobilization Recommended
Pleural tent Recommended only in selected cases (i.e., severe emphysema)
Surgical sealant Recommended in case of intraoperative air leak
Staple-line reinforcement Recommended only in selected cases (i.e., severe emphysema)
“Fissure-less” technique Not recommended; left to the surgeon’s choice
Number of pleural drains Recommended the use of one drainage

VATS-U, uniportal VATS; VATS, video-assisted thoracic surgery.