Abstract

Objectives:To explore the effects and feasibility of single-port video-assisted thoracic surgery (VATS) on lobectomy for pulmonary carcinoma.Methods:A total of 67 patients were enrolled in this study, in which 21 patients were treated by single-port VATS (Sing-port Group) and 46 patients by double-port VATS (Double-port Group). Blood loss, duration of thoracic drainage, length of post-operative hospital stay and post-operative pain ratings were compared between the two groups.Results:No significant difference existed in blood loss, duration of thoracic drainage and length of postoperative hospital stay between the two groups. However, Post-operative pain was significantly reduced in Single-port Group compared to Double-port Group.Conclusion:Single-port VATS was totally feasible with reduced post-operative pain and good looking appearance.

Highlights

  • A growing number of reports have shown more advantages of video-assisted thoracic surgery (VATS) than thoracotomy on clinical indicators.[1,2] And with the development of technology in VATS, operating methods of VATS are evolving from four port to uniport.[3,4] Especially, uniportal video-assisted thoracoscopic lobectomy has been developed in recent years, featured by minimal invasion and difficult operation

  • Patients: From October of 2013 to April of 2014, 67 patients treated with VATS were enrolled in ChinaJapan Union Hospital of Jilin University, in wich 21 patients were treated by single-port VATS (Singport Group) and 46 patients by double-port VATS (Double-port Group)

  • The patients were divided into two groups according to the surgical methods: 21 who were treated by single-port VATS (Singport Gruop) and 46 patients by double-port VATS (Double-port Group) (Table-I)

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Summary

Introduction

A growing number of reports have shown more advantages of video-assisted thoracic surgery (VATS) than thoracotomy on clinical indicators.[1,2] And with the development of technology in VATS, operating methods of VATS are evolving from four port to uniport.[3,4] Especially, uniportal video-assisted thoracoscopic lobectomy has been developed in recent years, featured by minimal invasion and difficult operation. 67 patients who had undergone single-portal VATS (Sing-port Group) or double-portal VATS (Doubleport Group) were analyzed

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