The subcutaneous tunneled periareolar approach in lung resection performed through uniportal video-assisted thoracic surgery

The approach for traditional uniportal video-assisted thoracoscopic surgery (Uni-VATS) is typically located on the lateral chest wall, the resulting pain and visible scars may have a negative psychological impact on patients. We present our preliminary experience with the subcutaneous tunneled periareolar approach (STPA) in lung resection performed through Uni-VATS for treating pulmonary nodules. From December 2023 through to June 2024, five patients underwent this procedure, including three cases of the wedge resection, one case of the lobectomy, and one case of the segmentectomy. The operations were uneventful, with no postoperative infections or deaths reported. Scarring from the STPA was effectively concealed within the naturally darker periareolar skin. Tension-free incision reduced postoperative pain for patients, and the follow-up outcomes were favorable. The STPA for Uni-VATS is a safe and reliable method for resection of pulmonary nodules, we recommend this method for patients with aesthetic concerns and for women without reproductive needs.