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. 2017 Jan 25;17(1):75.
doi: 10.1186/s12885-017-3069-z.

The feasibility and advantage of uniportal video-assisted thoracoscopic surgery (VATS) in pulmonary lobectomy

Linlin Wang  1   2 , Dabei Liu  1   2 , Jibin Lu  2 , Suning Zhang  2 , Xueying Yang  3
Affiliations

The feasibility and advantage of uniportal video-assisted thoracoscopic surgery (VATS) in pulmonary lobectomy

Linlin Wang et al. BMC Cancer. .

Abstract

Background: Ongoing improvements in technique and instruments for video-assisted thoracoscopic surgery (VATS) have made minimally-invasive uniportal VATS lobectomy a reality. However, the outcomes of the procedure are still under investigation, and at present, uniportal VATS lobectomy is performed infrequently at most hospitals. We have therefore reviewed our outcomes with this procedure in an attempt to validate its safety, efficacy, and feasibility.

Methods: We retrospectively analyzed and compared perioperative data for patients who underwent uniportal, two-port, and traditional three-port VATS lobectomy between January 2015 and December 2015 at our hospital.

Results: Among 257 patients who had successful VATS lobectomy during the study period, 73 underwent uniportal VATS, 86 underwent two-port VATS, and 98 underwent traditional three-port VATS. There were no surgical or 30-day postoperative mortalities, and no significant differences in operative times, blood loss, number of lymph nodes retrieved and nodal stations explored, drainage times, length of hospital stay, or postoperative complications among the three groups. The visual analogue scale (VAS) pain scores were significantly lower in the uniportal VATS group after surgery (P < 0.05).

Conclusions: Uniportal VATS lobectomy is a safe and feasible surgical procedure that is associated with decreased surgical trauma and less postoperative pain compared to traditional VATS. Further long term follow-up analyses in large numbers of patients are ongoing.

Keywords: Lobectomy; Minimally invasive surgery; Uniportal; VATS.

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Figures

Fig. 1
Fig. 1
Uniportal video assisted thoracoscopic surgery (VATS) lobectomy. A single incision of approximately 4.0 cm is made in the 4th or 5th intercostal space at the anterior axillary line. a A specially-designed wound protector is inserted, forming two channels, one for the thoracoscope and the other for the surgical instruments. b Left pneumonectomy. c A U-shaped suture is placed around the chest tube in order to close the incision immediately after removal of the tube. d One month after right upper lobectomy
Fig. 2
Fig. 2
Visual analog scale (VAS) pain scores. The postoperative pain scores in the uniportal VATS group after surgery were significantly lower compared to those of the two-port and three-port VATS groups (P < 0.05)
See this image and copyright information in PMC

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