Transition from multiple port to single port video-assisted thoracoscopic anatomic pulmonary resection: early experience and comparison of perioperative outcomes

Abstract

Background: Single port thoracoscopy is an approach aimed at minimizing trauma to the chest wall during lung resection. The objectives of this study were to describe early experience in the transition from multiple port video-assisted thoracic surgery (VATS) to single port surgery (S-VATS) and to compare perioperative outcomes between approaches.Methods: Consecutive anatomic lung resections using S-VATS were reviewed and compared to a historical, prospective cohort of multiple port VATS cases. Outcomes analysis was focused on the use of operating room resources and postoperative recovery. Conclusions: Early experience in the transition from multiple port VATS to S-VATS lung resection indicates that safety, efficiency and surgical quality are preserved. More long-term data are required.Alternative approaches to perform thoracoscopic lung resection should be carefully evaluated and compared to established minimally invasive techniques.

Enhanced recovery after surgery using uniportal video‐assisted thoracic surgery for lung cancer: A preliminary study

“…Uniportal lobectomy did not increase postoperative morbidity, indicating that it was safe and feasible, yielded enhanced postoperative recovery, and could achieve satisfactory early clinical outcomes. This data is consistent with a previous report, which indicated that conversion from multiple port VATS to single port surgery is safe, efficient, and of high surgical quality . However, more long‐term data are required.…”

“…This data is consistent with a previous report, which indicated that conversion from multiple port VATS to single port surgery is safe, efficient, and of high surgical quality. 9 However, more long-term data are required. Alternative approaches to performing thoracoscopic lung resection should be carefully evaluated and compared to establish minimally invasive techniques.…”

A prospective study examining the impact of uniportal video‐assisted thoracic surgery on the short‐term quality of life in patients with lung cancer

“…Liu et al 17 found no significant differences in the number or locations of total lymph nodes between the uniportal and three-portal groups. Additionally, French et al 18 found no significant differences in the number of total lymph nodes between the uniportal and three-portal groups. In our opinion, due to improvements in the surgical technique and apparatus, most thoracic surgeons would be able to reach similar lymph node dissection ranges as with three-portal thoracoscopy and open operation after completing the learning curve for uniportal thoracoscopic surgery.…”

“…found no significant differences in the number or locations of total lymph nodes between the uniportal and three‐portal groups. Additionally, French et al . found no significant differences in the number of total lymph nodes between the uniportal and three‐portal groups.…”

Uniportal right upper video-assisted thoracoscopic surgery lobectomy: safe and feasible

“…Uniportal VATS lobectomy is not related with a better postoperative outcome when compared with two or three-port approach (18). However, this technique can be considered safe and feasible (19).…”