1. MacDuff A, Arnold A, Harvey J, et al. Management of
spontaneous pneumothorax: British Thoracic Society
Pleural Disease Guideline 2010. Thorax 2010;65 Suppl
2:ii18-31.
2. Schnell J, Beer M, Eggeling S, et al. Management of
Spontaneous Pneumothorax and Post-Interventional
Pneumothorax: German S3 Guideline. Respiration
2019;97:370-402.
3. Yamamoto H, Okada M, Takada M, et al. Video-assisted
thoracic surgery through a single skin incision. Arch Surg
1998;133:145-7.
4. Liu CY, Lin CS, Liu CC. Subxiphoid single-incision
thoracoscopic surgery for bilateral primary spontaneous
pneumothorax. Wideochir Inne Tech Maloinwazyjne
2015;10:125-8.
5. Lin JB, Chen JF, Lai FC, et al. Transareolar pulmonary
bullectomy for primary spontaneous pneumothorax. J
Thorac Cardiovasc Surg 2016;152:999-1005.
6. Masmoudi H, Etienne H, Sylvestre R, et al. Three
Hundred Fifty-One Patients With Pneumothorax
Undergoing Uniportal (Single Port) Video-Assisted
Thoracic Surgery. Ann Thorac Surg 2017;104:254-60.
7. Nachira D, Ismail M, Meacci E, et al. Uniportal vs.
triportal video-assisted thoracic surgery in the treatment
of primary pneumothorax-a propensity matched bicentric
study. J Thorac Dis 2018;10:S3712-9.
8. Kutluk AC, Kocaturk CI, Akin H, et al. Which is the
Best Minimal Invasive Approach for the Treatment of
Spontaneous Pneumothorax? Uniport, Two, or Three
Ports: A Prospective Randomized Trail. Thorac Cardiovasc
Surg 2018;66:589-94.
9. Igai H, Kamiyoshihara M, Furusawa S, et al. A prospective
comparative study of thoracoscopic transareolar and
uniportal approaches for young male patients with primary
spontaneous pneumothorax. Gen Thorac Cardiovasc Surg
2021;69:1414-20.
© Video-Assisted Thoracic Surgery. All rights reserved.
Page 11 of 13
10. Li L, Tian H, Yue W, et al. Subxiphoid vs intercostal
single-incision video-assisted thoracoscopic surgery for
spontaneous pneumothorax: A randomised controlled trial.
Int J Surg 2016;30:99-103.
11. Wang BY, Chang YC, Chang YC, et al. Thoracoscopic
surgery via a single-incision subxiphoid approach is
associated with less postoperative pain than singleincision transthoracic or three-incision transthoracic
approaches for spontaneous pneumothorax. J Thorac Dis
2016;8:S272-8.
12. Chen L, Liu F, Wang B, et al. Subxiphoid vs transthoracic
approach thoracoscopic surgery for spontaneous
pneumothorax: a propensity score-matched analysis. BMC
Surg 2019;19:46.
13. Jutley RS, Khalil MW, Rocco G. Uniportal vs
standard three-port VATS technique for spontaneous
pneumothorax: comparison of post-operative pain
and residual paraesthesia. Eur J Cardiothorac Surg
2005;28:43-6.
14. Akçay O, Acar T, Cantay S, et al. Minimally invasive
approach to pneumothorax: Single port or two ports? Turk
Gogus Kalp Damar Cerrahisi Derg 2019;28:347-51.
15. Yang HC, Cho S, Jheon S. Single-incision thoracoscopic
surgery for primary spontaneous pneumothorax using the
SILS port compared with conventional three-port surgery.
Surg Endosc 2013;27:139-45.
16. Song IH, Lee SY, Lee SJ. Can single-incision
thoracoscopic surgery using a wound protector be used as
a first-line approach for the surgical treatment of primary
spontaneous pneumothorax? A comparison with threeport video-assisted thoracoscopic surgery. Gen Thorac
Cardiovasc Surg 2015;63:284-9.
17. Salati M, Brunelli A, Xiumè F, et al. Uniportal videoassisted thoracic surgery for primary spontaneous
pneumothorax: clinical and economic analysis in
comparison to the traditional approach. Interact Cardiovasc
Thorac Surg 2008;7:63-6.
18. Berlanga LA, Gigirey O. Uniportal video-assisted thoracic
surgery for primary spontaneous pneumothorax using a
single-incision laparoscopic surgery port: a feasible and
safe procedure. Surg Endosc 2011;25:2044-7.
19. Chen PR, Chen CK, Lin YS, et al. Single-incision
thoracoscopic surgery for primary spontaneous
pneumothorax. J Cardiothorac Surg 2011;6:58.
20. Chen CH, Lee SY, Chang H, et al. The adequacy of
single-incisional thoracoscopic surgery as a first-line
endoscopic approach for the management of recurrent
primary spontaneous pneumothorax: a retrospective study.
Video-assist Thorac Surg 2023;8:31 | https://dx.doi.org/10.21037/vats-23-30
Page 12 of 13
J Cardiothorac Surg 2012;7:99.
21. Igai H, Kamiyoshihara M, Ibe T, et al. Single-incision
thoracoscopic surgery for spontaneous pneumothorax
using multi-degrees of freedom forceps. Ann Thorac
Cardiovasc Surg 2014;20:974-9.
22. Kang DK, Min HK, Jun HJ, et al. Early outcomes of
single-port video-assisted thoracic surgery for primary
spontaneous pneumothorax. Korean J Thorac Cardiovasc
Surg 2014;47:384-8.
23. Son BS, Kim DH, Lee SK, et al. Small Single-Incision
Thoracoscopic Surgery Using an Anchoring Suture in
Patients With Primary Spontaneous Pneumothorax:
A Safe and Feasible Procedure. Ann Thorac Surg
2015;100:1224-9.
24. Tsuboshima K, Wakahara T, Matoba Y, et al. Singleincision thoracoscopic surgery using a chest wall pulley
for lung excision in patients with primary spontaneous
pneumothorax. Surg Today 2015;45:595-9.
25. Yamazaki K, Haratake N, Shikada Y, et al. Initial
Experience of Single-Incision Thoracoscopic Surgery for
100 Patients with Primary Spontaneous Pneumothorax.
Ann Thorac Cardiovasc Surg 2015;21:513-6.
26. Chong Y, Cho HJ, Kang SK, et al. Outcomes of the
Tower Crane Technique with a 15-mm Trocar in Primary
Spontaneous Pneumothorax. Korean J Thorac Cardiovasc
Surg 2016;49:80-4.
27. Jeon HW, Kim YD. Does 11.5 mm guided single
port surgery has clinical advantage than multi-port
thoracoscopic surgery in spontaneous pneumothorax? J
Thorac Dis 2016;8:2924-30.
28. Ocakcioglu I, Alpay L, Demir M, et al. Is single port
enough in minimally surgery for pneumothorax? Surg
Endosc 2016;30:59-64.
29. Jung H, Oh TH, Cho JY, et al. Mid-Term Outcomes
of Single-Port versus Conventional Three-Port VideoAssisted Thoracoscopic Surgery for Primary Spontaneous
Pneumothorax. Korean J Thorac Cardiovasc Surg
2017;50:184-9.
30. Al-Githmi I. Uniportal Video-Assisted Thoracoscopic
Surgery and Outcomes for Recurrent Primary Spontaneous
Pneumothorax: Single-Institution Experience. Surgical
Science 2018;9:122-7.
31. Zhang C, Zhang M, Wang H, et al. Next-day discharge
following small uniportal thoracoscopic bullectomy
assisted with an anchoring suture. J Int Med Res
2020;48:300060519896926.
32. Kapicibasi HO. Uniportal VATS technique for primary
spontaneous pneumothorax: An analysis of 46 cases. Pak J
© Video-Assisted Thoracic Surgery. All rights reserved.
Video-Assisted Thoracic Surgery, 2023
Med Sci 2020;36:224-8.
33. Fiorelli A, Cascone R, Carlucci A, et al. Uniportal
thoracoscopic surgical management using a suture traction
for primary pneumothorax. Asian Cardiovasc Thorac Ann
2021;29:195-202.
34. Yoshikawa R, Matsuura N, Igai H, et al. Uniportal
approach as an alternative to the three-portal approach to
video-assisted thoracic surgery for primary spontaneous
pneumothorax. J Thorac Dis 2021;13:927-34.
35. Lee SH, Lee SG, Cho SH, et al. Outcomes of SingleIncision Thoracoscopic Surgery Using the Spinal
Needle Anchoring Technique for Primary Spontaneous
Pneumothorax. J Chest Surg 2022;55:44-8.
36. Wang P, Zhang L, Zheng H, et al. Comparison of singleport vs. two-port VATS technique for primary spontaneous
pneumothorax. Minim Invasive Ther Allied Technol
2022;31:462-7.
37. Yazawa T, Igai H, Ohsawa F, et al. Feasibility of
thoracoscopic pulmonary bullectomy using a transareolar
approach for treatment of primary spontaneous
pneumothorax. J Thorac Dis 2020;12:5794-801.
38. Liu CC, Shih CS, Liu YH, et al. Subxiphoid singleport video-assisted thoracoscopic surgery. J Vis Surg
2016;2:112.
39. Fok M, Karunanantham J, Ali JM, et al. Subxiphoid
approach for spontaneous bilateral pneumothorax: a case
report. J Vis Surg 2017;3:146.
40. Ismail M, Swierzy M, Nachira D, et al. Uniportal videoassisted thoracic surgery for major lung resections: pitfalls,
tips and tricks. J Thorac Dis 2017;9:885-97.
41. Muramatsu T, Nishii T, Takeshita S, et al. Preventing
recurrence of spontaneous pneumothorax after
thoracoscopic surgery: a review of recent results. Surg
Today 2010;40:696-9.
42. Lee S, Kim HR, Cho S, et al. Staple line coverage after
bullectomy for primary spontaneous pneumothorax: a
randomized trial. Ann Thorac Surg 2014;98:2005-11.
43. Sihoe AD. The evolution of minimally invasive thoracic
surgery: implications for the practice of uniportal
thoracoscopic surgery. J Thorac Dis 2014;6:S604-17.
44. Bertolaccini L, Batirel H, Brunelli A, et al. Uniportal
video-assisted thoracic surgery lobectomy: a consensus
report from the Uniportal VATS Interest Group (UVIG)
of the European Society of Thoracic Surgeons (ESTS).
Eur J Cardiothorac Surg 2019;56:224-9.
45. Brown SGA, Ball EL, Perrin K, et al. Conservative versus
Interventional Treatment for Spontaneous Pneumothorax.
N Engl J Med 2020;382:405-15.
Video-assist Thorac Surg 2023;8:31 | https://dx.doi.org/10.21037/vats-23-30
Video-Assisted Thoracic Surgery, 2023
46. Olesen WH, Katballe N, Sindby JE, et al. Surgical
treatment versus conventional chest tube drainage in
primary spontaneous pneumothorax: a randomized
controlled trial. Eur J Cardiothorac Surg 2018;54:113-21.
47. Yang Y, Dong J, Huang Y. Single-incision versus
conventional three-port video-assisted surgery in the
Page 13 of 13
treatment of pneumothorax: a systematic review and metaanalysis. Interact Cardiovasc Thorac Surg 2016;23:722-8.
48. Xu W, Wang Y, Song J, et al. One-port video-assisted
thoracic surgery versus three-port video-assisted thoracic
surgery for primary spontaneous pneumothorax: a metaanalysis. Surg Endosc 2017;31:17-24.
doi: 10.21037/vats-23-30
Cite this article as: Nishioka Y, Hokka D, Maniwa Y.
Procedure of uniportal intercostal bullectomy for pneumothorax
and its indications: a clinical practice review. Video-assist
Thorac Surg 2023;8:31.
© Video-Assisted Thoracic Surgery. All rights reserved.
Video-assist Thorac Surg 2023;8:31 | https://dx.doi.org/10.21037/vats-23-30
...