Technological aids in uniportal video-assisted thoracoscopic surgery

Cañas, Sonia Raquelline Roque; Argueta, Alonso José Oviedo; Wu, Ching Feng; González-Rivas, Diego

doi:10.21037/jovs.2017.01.05

Cited by 3 publications

(2 citation statements)

References 11 publications

(7 reference statements)

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“…Recently, with the development of the concept of rapid rehabilitation surgery, there is a gradual increase in the use of UVATS that requires only one incision. 18 Studies have shown that this surgical method has more advantages in reducing surgical trauma and postoperative pain. 2 , 18 - 21 Kapicibasi et al 2 have shown that using UVATS not only allows to safely perform lung biopsy and resection, but is also safe for bullectomy.…”

Section: Discussionmentioning

confidence: 99%

“… 18 Studies have shown that this surgical method has more advantages in reducing surgical trauma and postoperative pain. 2 , 18 - 21 Kapicibasi et al 2 have shown that using UVATS not only allows to safely perform lung biopsy and resection, but is also safe for bullectomy. Zhang J et al 20 also reported that patients who undergo UVATS have less trauma, which is beneficial for lung function and postoperative recovery.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of uniportal versus multiportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer: A retrospective analysis

Zheng,

Wang,

et al. 2024

Pak J Med Sci

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Objective: To compare the uniportal and multiportal video-assisted thoracoscopic surgery (VATS) in patients with non-small-cell lung cancer (NSCLC). Methods: Medical records of 128 patients with NSCLC who underwent surgical treatment in the First School of Clinical Medicine, Southern Medical University from August 2020 to February 2022 were retrospectively analyzed. There were 60 patients who underwent uniportal VATS (UVATS group) and 68 patients underwent multiportal VATS (MVATS group). The relevant indexes, complications, postoperative pain levels and quality of life, recurrence, metastases and survival between the two groups were compared. Results: UVATS was associated with longer operation time and higher intraoperative blood loss compared to MVATS (P<0.05). The postoperative drainage volume, and the visual analogue scale (VAS) scores at 24 and 72 hours were lower in the UVATS group compared to the MVATS group, while the chest tube retention time and hospitalization time were shorter than those in the MVATS group (P<0.05). The quality of life at six months after surgery in the UVATS group was significantly higher than that in the MVATS group (P<0.05). Conclusions: UVATS and MVATS have similar outcomes in patients with NSCLC. Although UVATS surgery takes longer and is associated with more interoperative bleeding, it can reduce postoperative pain, shorten postoperative recovery time, and help further improve the quality of life of patients after surgery. doi: https://doi.org/10.12669/pjms.40.6.9313 How to cite this: Zheng X, Wang W, Li X, He P, Wu X. Efficacy of uniportal versus multiportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer: A retrospective analysis. Pak J Med Sci. 2024;40(6):1135-1139. doi: https://doi.org/10.12669/pjms.40.6.9313 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Efficacy of uniportal versus multiportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer: A retrospective analysis

Zheng,

Wang,

et al. 2024

Pak J Med Sci

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Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

Bertolaccini¹,

Batırel

Brunelli

et al. 2019

European Journal of Cardio-Thoracic Surgery

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OBJECTIVES Our goal was to report the results of the first consensus paper among international experts in uniportal video-assisted thoracoscopic surgery (UniVATS) lobectomy obtained through a Delphi process, the objective of which was to define and standardize the main procedural steps, optimize its indications and perioperative management and identify elements to assist in future training. METHODS The 40 members of the working group were convened and organized on a voluntary basis by the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). An e-consensus finding exercise using the Delphi method was applied to require 75% agreement for reaching consensus on each question. Repeated iterations of anonymous voting continued for 3 rounds. RESULTS Overall, 31 international experts from 18 countries completed all 3 rounds of questionnaires. Although a technical quorum was not achieved, most of the responders agreed that the maximum size of a UniVATS incision should be ≤4 cm. Agreement was reached on many points outlining the currently accepted definition of a UniVATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSIONS The UVIG Consensus Report stated that UniVATS offers a valid alternative to standard VATS techniques. Only longer follow-up and randomized controlled studies will predict whether UniVATS represents a valid alternative approach to multiport VATS for major lung resections or whether it should be performed only in selected cases and by selected centres. The next step for the ESTS UVIG is the establishment of a UniVATS section inside the ESTS databases.

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Comparative clinical experience of subcostal VATS versus conventional uniportal lateral VATS approach

Kösek,

Al Masri,

Nikolova

et al. 2024

Journal of Minimal Access Surgery

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Introduction: The present study reports the first clinical experience with subcostal uniportal VATS (suVATS) compared with the conventional lateral uniportal VATS (luVATS) approach. Patients and Methods: All patients who underwent suVATS between January 2019 and April 2020 were included. Patients who had undergone luVATS for similar indications were included as the control group. The data were prospectively and retrospectively analysed. Results: The suVATS group included 38 patients with a mean age of 61 (30–83) years. The luVATS group included 33 patients (mean age, 69 years; range: 46–89 years). An intercostal block was performed intraoperatively in the luVATS group. Local infiltration under anaesthesia was performed around the incision in the suVATS group. The duration of the surgery was significantly longer in the suVATS group. However, the chest tube treatment and hospital stay duration were significantly shorter in the suVATS group. The routinely recorded Visual Analogue Scale scores on the first post-operative day and the day of discharge were significantly lower in the suVATS group. Conclusion: Subcostal uniportal VATS enables a shorter drainage treatment duration and hospital stay and significantly reduces post-operative pain. Thus, a faster patient recovery can be achieved.

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Technological aids in uniportal video-assisted thoracoscopic surgery

Cited by 3 publications

References 11 publications

Efficacy of uniportal versus multiportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer: A retrospective analysis

Efficacy of uniportal versus multiportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer: A retrospective analysis

Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

Comparative clinical experience of subcostal VATS versus conventional uniportal lateral VATS approach

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