Current Thoracic Surgery
2026 , Vol 11 , Issue 1
Technological evolution of uniportal video-assisted thoracoscopic surgery in lung cancer: a comprehensive review
1Department of Cardiothoracic Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt2University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Thoracic Surgery, Istanbul, Türkiye DOI : 10.26663/cts.2026.017 Viewed : 675 - Downloaded : 194 In this review, we will examine how uniportal video-assisted thoracoscopic surgery (U-VATS) compares in the management of non-small cell lung cancer (NSCLC) in terms of effectiveness, safety, and advancements in technology, as supported by recent literature. The change from multiportal techniques to uniportal techniques has expanded the limits of minimal invasiveness in thoracic surgery. In all aspects evaluated in the literature included in this review, U-VATS is comparable to multiportal techniques in postoperative pain, drainage time, and oncologic outcomes. The learning curve criteria set by the ESTS consensus for the safe adoption of U-VATS provides a sound basis for promoting this technique. In essence, Uniportal VATS is an evolving technique that is equally minimally invasive and has great oncologic potential, given advancements in technology. Keywords : uniportal VATS, lung cancer, minimally invasive surgery, sleeve resection