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Interact CardioVasc Thorac Surg 2006;5:430-432. doi:10.1510/icvts.2006.128603
© 2006 European Association of Cardio-Thoracic Surgery
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Gaetano Rocco
Alessandro Brunelli
Michele Salati
Francesco Scognamiglio
Carmine La Manna
Antonello La Rocca
Nicola Martucci
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Right arrow Lung - cancer
Right arrow Mediastinum

Institutional report - Thoracic general

Uniportal VATS for mediastinal nodal diagnosis and staging

Gaetano Roccoa,*, Alessandro Brunellib, Raj Jutleyc, Michele Salatib, Francesco Scognamiglioa, Carmine La Mannaa, Antonello La Roccaa and Nicola Martuccia

a Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Via M Semmola, 81 80131, Naples, Italy
b Section of Thoracic Surgery, Umberto I Regional Hospital, Ancona, Italy
c The Price Thomas Thoracic Unit, Northern General Hospital, Sheffield Teaching Hospitals, Sheffield, UK

*Corresponding author. Tel.: +39-081-5903262; fax: +39-081-5903823.

E-mail address: Gaetano.Rocco{at}btopenworld.com (G. Rocco). (G. Rocco).

The objective of the present study was to assess feasibility of single port (uniportal) VATS in the diagnosis and staging of mediastinal nodal enlargements. To this purpose, between January 2002 and October 2005, 13 patients (8 males and 5 females; mean age 54 years) have undergone uniportal VATS sampling of mediastinal nodes either as part of a diagnostic pathway or as a staging procedure for primary lung cancer when either nodal stations were inaccessible to standard mediastinoscopy or in the event of redo nodal biopsy. Sampled stations were the aortopulmonary window (6), subcarinal (1), right paratracheal (5), and, paraesophageal (1) ones. In all cases, sufficient samples were made available for pathological diagnosis. Postoperatively, neither morbidity nor mortality was observed. The median length of stay in the hospital was 1 day. In conclusion we showed that uniportal VATS can be effectively used to achieve diagnosis and staging of mediastinal nodal stations.

Key Words: VATS; Staging; Lung cancer; Mediastinum

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