Improving pain after video-assisted thoracoscopic lobectomy—advantages of a wound retractor camera port

Walker Julliard, Alexander S. Krupnick


Pain after thoracic surgery remains the Achilles heel of our discipline. Many techniques have been developed over the years to address postoperative pain to varying degrees of success. It is with this in mind that we reviewed the study by Raveglia et al. (1) with great interest. The authors present a single-institution prospective randomized trial comparing use of a wound protector to the standard rigid trocar for the camera port during video-assisted thoracic surgery (VATS) lung resections. This novel technique was first published by the authors in 2016 (2) and is now common practice at their institution. The main study outcome was postoperative pain measured by both visual analog scale as well as morphine consumption.