The development of uniportal video-assisted thoracoscopic surgery in São Paulo: from diagnosis to lobectomy

Journal of Thoracic Disease
Alexandre de Oliveira, Thais Amarante P P Couto

Abstract

The use of uniportal video-assisted thoracoscopic surgery (VATS) has been increasing worldwide. Our main goal was to describe the evolution of uniportal surgery in the biggest private hospital in Latin America that is located in São Paulo, Brazil. This descriptive and retrospective study included patients who underwent uniportal VATS in the thoracic surgical department of Beneficencia Portuguesa Hospital, after being referred to our team to undergo the aforementioned procedure within the period from February 2012 to March 2016. Postoperative management and results were analyzed. In the thoracic surgical department of Beneficencia Portuguesa Hospital, 454 uniportal VATS surgeries were performed. Of the patients, 287 (65.52%) were male and 151 (34.48%) were female, with a mean age of 57.48±23.4 years. In December 2015, we initiated anatomical pulmonary resections (lobectomies and segmentectomies). In the cases of uniportal lobectomies for lung cancer in the initial staging, lymphadenectomy was performed in all the patients, of whom 59 (87%) had at least seven lymph nodes included in the dissection and confirmed in the pathological anatomy report. Four of the uniportal lobectomy cases were converted to thoracotomy because of bleed...Continue Reading

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