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. 2016 Mar;8(Suppl 3):S251-7.
doi: 10.3978/j.issn.2072-1439.2016.02.32.

Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases

Nan Song  1 , De-Ping Zhao  1 , Lei Jiang  1 , Yi Bao  1 , Ge-Ning Jiang  1 , Yu-Ming Zhu  1 , Jia-An Ding  1
Affiliations

Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases

Nan Song et al. J Thorac Dis. 2016 Mar.

Abstract

Background: To address the feasibility and advantages of subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy.

Methods: Since August 2014, 105 cases of subxiphoid uniportal VATS lobectomy were successfully performed. The clinical information was retrospectively analyzed.

Results: 96 cases underwent unilateral operation and 9 underwent bilateral operations. Surgeries were successfully performed with a complication rate of 10.5%. The average pain scores 8 hours, day 1, 2 and 3 after surgery, as well as the day before discharge were 2.39±0.99, 2.06±0.85, 1.68±0.87, 1.29±0.78, and 0.48±0.51, respectively, which were significantly lower than those in the control group (standard intercostal uniportal VATS) (P<0.001).

Conclusions: The subxiphoid uniportal VATS lobectomy is safe and reliable, which is appropriate for bilateral lung diseases, and significantly relieves postoperative incision pain.

Keywords: Thoracoscope; lobectomy; subxiphoid; uniportal.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Pre-operative position.
Figure 2
Figure 2
Several surgical steps of VATS lobectomy through subxiphoid approach. (A) Division of the upper apico-anterior arterial trunk in right upper lobectomy; (B) division of right upper lobe bronchus; (C) division of the left lower lobe artery; (D) division of the left lower lobe vein. VATS, video-assisted thoracoscopic surgery.
Figure 3
Figure 3
A drainage tube was inserted through the subxiphoid incision, and a deep venous puncture catheter was inserted though the lateral chest wall.
Figure 4
Figure 4
Bilateral pleural drainage tubes were inserted through the subxiphoid incision in bilateral resections.
See this image and copyright information in PMC

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