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Stapler-Less Uniportal Video-Assisted Thoracoscopic Surgery: Case Series and Review of the Literature
(Deanship of Scientific Research/ Al-Quds University, 2023-03-08) Rawan Ayyad; Alaa Ayyad; Raghad Sweity; Mayar Idkedek; Firas Abu Akar
Background: With the world's trend towards minimally invasive surgical techniques, video-assisted thoracoscopic surgery (VATS) is now a well-established technique worldwide. Mechanical stapling is routinely employed for bronchial and pulmonary vasculature sealing and ligation during anatomical lung resection. The use of staplers is associated with high operating costs, bleeding, reopening and infections. This high stapler cost affected the spread and use of VATS in less developed countries where staplers can’t be afforded. In this study, we demonstrate the feasibility and outcomes from the first case series of uniportal VATS lobectomies and segmentectomies without the use of a stapler.