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.