To explore the clinical value of single-port video-assisted thoracoscopic surgery in the treatment of lobectomy.

Between April 2014 and March 2015, single-port video-assisted thoracoscopic surgery for lobectomy was performed among 118 patients with preoperative diagnosis or consideration as Ⅰ-Ⅱstage of peripheral lung cancer(T₁N₀M₀-T₃N₀M₀) or benign lesion.The operating port was made at the fifth intercostal space on the anterior axillary line with a length of 4 cm without using the equipment to spread ribs in general endotracheal anesthesia of double lumen tube intubation with rocuronium.The observation port was as same as the operating port.

Single-port video-assisted thoracoscopic surgery was successfully completed in 118 cases. No patient was converted to open thoracotomy or video-assisted minithoracotomy, and no died during the operative period. Superior lobe of left lung resection was done in 23 cases, inferior lobe of left lung in 11 cases, superior lobe of right lung in 49 cases, middle lobe of right lung in 12 cases, and inferior lobe of right lung in 23 cases. The mean operation time was (224.8±6.3)min, and the mean volume of peri-operative bleeding was (93.2±5.8) ml. There was no blood transfusion during operation.Postoperative pulmonary infection occurred in 9 cases, air leakage in 1 case, emphysema in 1 case, chylothorax in 4 cases, and deep venous thrombosis in 4 cases, all of which were cured by symptomatic or conservative treatment.

Single-port video-assisted thoracoscopic surgery for lobectomy is safe and feasible.