Transition from a multiport technique to a single-port technique for lung cancer surgery: is lymph node dissection inferior using the single-port technique?

Liu, Chia‐Chuan; Shih, Chun‐Hsing; Pennarun, Nicolas; Cheng, Chih‐Tao

doi:10.1093/ejcts/ezv321

Cited by 59 publications

(68 citation statements)

References 17 publications

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“…After removing duplicates, irrelevant articles, case reports, letters, reviews, comments or meta-analyses, 15 references were identified and assessed further by screening the full texts. After the exclusion of four studies which did not provide the appropriate data, 11 studies (2)(3)(4)(5)7,8,(12)(13)(14)(15)(16) were included for final assessment and were deemed to be suitable for quantitative meta-analysis. The process of article selection is summarized in Figure 1.…”

Section: Selection Processmentioning

confidence: 99%

Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1–3N0M0 non-small cell lung cancer: a systematic review and meta-analysis

Yang¹,

Li²,

Yang³

et al. 2018

J. Thorac. Dis.

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Background: Uniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioperative efficacy of uniport and multiport VATS for T1-3N0M0 NSCLC. .02) and in the overall rate of complications (14.5% vs. 17.5%; P=0.008). There were no significant differences between the two treatment groups with regards to mortality, operative time, the number of dissected lymph nodes or the conversion rate. Conclusions: Uniport VATS might have represent a preferable option for the treatment of T1-3N0M0 NSCLC, due to its superior perioperative efficacy.

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Section: Selection Processmentioning

confidence: 99%

Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1–3N0M0 non-small cell lung cancer: a systematic review and meta-analysis

Yang¹,

Li²,

Yang³

et al. 2018

J. Thorac. Dis.

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“…To date, results comparing number and station of lymph nodes between SP VATS and MP VATS have been discordant (15,17,19). Our data showed that the number of lymph nodes harvested by SP VATS was not different from MP VATS.…”

Section: Discussionmentioning

confidence: 61%

A multi-center retrospective study of single-port versus multi-port video-assisted thoracoscopic lobectomy and anatomic segmentectomy

Xiang

Pagliarulo

et al. 2017

J. Thorac. Dis.

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Background: To assess the feasibility and perioperative outcomes of single-port (SP) and multi-port (MP) approaches for video-assisted thoracoscopic surgery (VATS) lobectomy and anatomical segmentectomy.Methods: Retrospective data from 458 patients who received VATS lobectomy or anatomical segmentectomy at Shanghai Chest Hospital, Korea University Guro Hospital, Affiliated Hospital of National Taiwan University, University of Hong Kong Queen Mary Hospital and Shenzhen Hospital were collected.Patients were divided into SP group and MP group according to the surgical approach. Perioperative factors such as operation time, blood loss during surgery, conversion rate, the number and stations of lymph nodes harvested, postoperative chest tube drainage time, postoperative hospitalization time, perioperative morbidity and mortality, and pain scores during the first 3 days after surgery were compared between the two groups.Results: There were no differences in the number (P=0.278) and stations (P=0.564) of lymph nodes harvested, postoperative morbidity (P=0.414) or mortality(P=0.246), and pain score on the third day (P=0.630) after surgery between the two groups. The SP group had a longer operation time (P=0.042) and greater intraoperative blood loss (P<0.001), but the conversion rate was even higher in the MP group (P=0.018).Patients in the SP group had shorter chest tube removal time (P=0.012) and postoperative hospitalization time (P=0.005). Pain scores were lower on the first (P=0.014) and second (P=0.006) day after surgery in the SP group.Conclusions: SP VATS lobectomy and anatomical segmentectomy is technologically more demanding than MP VATS. It can be safe and feasible in the hands of experienced surgeons, with comparable preoperative outcomes to MP VATS, but less pain in the early postoperative period.

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“…Delgado et al (48) reported better results in uniVATS than in multiport VATS for mediastinal lymphadenectomy. More recently, Liu et al (49) observed that the quantity and quality of dissected lymph nodes was similar, whatever the used VATS approach.…”

Section: The Recent Progressmentioning

confidence: 95%

A glance at the history of uniportal video-assisted thoracic surgery

Mineo¹,

Ambrogi²

2017

J. Vis. Surg.

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In the history of thoracic surgery, the advent of video-assisted thoracic surgery (VATS) had on effect equivalent to that provoked by a true revolution. VATS successfully allowed minor, major and complex procedures for various lung and mediastinal pathologies with small incision instead of the traditional accesses. These small incisions abolished ugly scars, generated less acute and chronic pain, reduced hospital stay and costs, allowed faster return to normal day life activities. Conventional VATS was initially performed

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Transition from a multiport technique to a single-port technique for lung cancer surgery: is lymph node dissection inferior using the single-port technique?

Cited by 59 publications

References 17 publications

Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1–3N0M0 non-small cell lung cancer: a systematic review and meta-analysis

Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1–3N0M0 non-small cell lung cancer: a systematic review and meta-analysis

A multi-center retrospective study of single-port versus multi-port video-assisted thoracoscopic lobectomy and anatomic segmentectomy

A glance at the history of uniportal video-assisted thoracic surgery

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