Uniportal and three-portal video-assisted thoracic surgery lobectomy: analysis of the Italian video-assisted thoracic surgery group database.

Interactive Cardiovascular and Thoracic Surgery
Davide TosiItalian VATS Group

Abstract

This study compares the uniportal with the 3-portal video-assisted thoracic surgery (VATS) by examining the data collected in the Italian VATS Group Database. The primary end point was early postoperative pain; secondary end points were intraoperative and postoperative complications, surgical time, number of dissected lymph nodes and length of stay. This was an observational, retrospective, cohort, multicentre study on data collected by 49 Italian thoracic units. Inclusion criteria were clinical stage I-II non-small-cell lung cancer, uniportal or 3-portal VATS lobectomy and R0 resection. Exclusion criteria were cT3 disease, previous thoracic malignancy, induction therapy, significant comorbidities and conversion to other techniques. The pain parameter was dichotomized: the numeric rating scale ≤3 described mild pain, whereas the numeric rating scale score >3 described moderate/severe pain. The propensity score-adjusted generalized estimating equation was used to compare the uniportal with 3-portal lobectomy. Among 4338 patients enrolled from January 2014 to July 2017, 1980 met the inclusion criteria; 1808 patients underwent 3-portal lobectomy and 172 uniportal surgery. The adjusted generalized estimating equation regression mod...Continue Reading

References

Dec 7, 2010·Interactive Cardiovascular and Thoracic Surgery·Diego GonzalezMercedes Dela Torre
Dec 12, 2012·The Annals of Thoracic Surgery·Diego Gonzalez-RivasMercedes de la Torre
Aug 26, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Philip J McElnayGianluca Casali
Dec 5, 2014·Interactive Cardiovascular and Thoracic Surgery·Rebekah YoungDouglas West
May 3, 2016·Annals of Cardiothoracic Surgery·Christopher G HarrisChristopher Cao
May 14, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Valerio PernaOrlando Gigirey
Jul 13, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Luis Angel Hernandez-ArenasLei Jiang
Aug 2, 2017·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Joel DunningShanda Haley Blackmon
Mar 20, 2018·Journal of Visualized Surgery·Marcin ZielińskiJuliusz Pankowski

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