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

Chunyu Ji, Yangwei Xiang, Vincenzo Pagliarulo, Jangming Lee, Alan D.L. Sihoe, Hyun Koo Kim, Xuefei Zhang, Zhexin Wang, Weigang Zhao, Jian Feng, Wentao Fang

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)3711-3718
Number of pages8
JournalJournal of Thoracic Disease
Volume9
Issue number10
DOIs
Publication statusPublished - 2017 Oct 1

Keywords

  • Lobectomy
  • Segmentectomy
  • Single port
  • Video-assisted thoracoscopic surgery (VATS)

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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    Ji, C., Xiang, Y., Pagliarulo, V., Lee, J., Sihoe, A. D. L., Kim, H. K., Zhang, X., Wang, Z., Zhao, W., Feng, J., & Fang, W. (2017). A multi-center retrospective study of single-port versus multi-port video-assisted thoracoscopic lobectomy and anatomic segmentectomy. Journal of Thoracic Disease, 9(10), 3711-3718. https://doi.org/10.21037/jtd.2017.09.39