Abstract: Objective To assess the clinical value of single-port video-assisted thoracoscopic surgery (VATS) for treatment of
pulmonary diseases. Methods From October, 2009 to December, 2013, 105 patients with pulmonary diseases were scheduled
for single-pore VATS for pulmonary lobectomy (19 patients), wedge resection of the lung (34 patients), and bullae resection
and pleurodesis for spontaneous pneumothorax or pulmonary bleb (52 patients). Results Of the 105 patients, 101 patients
underwent single-port VATS; the procedure was converted to open thoracotomy in 1 patient and to conventional three-port
VATS in 2 patients. The operative time was 50.6±36.8 min (20-200 min) with intraoperative blood loss of 70±56.9 ml (10-300 ml),
thoracic drainage time of 4.2±3.2 days (2-14 days), and postoperative hospital stay of 5.4±3.8 days (3-16 days). Postoperative
complications of the procedures included prolonged air leakage (6 cases) and atelectasis (2 cases). All the other patients
recovered smoothly without serious complications. Conclusion Single-port VATS is a safe and efficient procedure that allows
rapid postoperative recovery and is a method of choice for selected patients with pulmonary diseases.