Original Article

The feasibility and efficacy of two micro-portal video-assisted thoracic surgery in pulmonary lobectomy for lung cancer

Liping Tong, Xiaoqing Zheng, Hongtao Duan, Honggang Liu, Xiaofei Li, Xiaolong Yan


Background: Conventional three-port video-assisted thoracic surgery (VATS) is well established internationally. Meanwhile, uniportal VATS technique has been become more and more popular in the past two decades. However, both methods have their merits and drawbacks. The purpose of this paper is to compare the surgical outcome of patients with lung cancer between traditional three-port VATS and our new two micro-portal VATS technique in an attempt to validate the safety, feasibility and efficacy of the latter procedure.
Methods: We retrospectively analyzed the perioperative data of two hundred and eight patients with primary lung cancer who underwent successful VATS lobectomy between September 2016 and December 2017 at our unit.
Results: Comparing to conventional three-port VATS group, the numeral analogue scale (NAS) pain scores were significantly lower in the two micro-portal VATS group. There were no surgery related mortality and no significant differences in operative time, blood loss, number of lymph nodes dissected, chest tube duration, length of stay or postoperative complications between the two group.
Conclusions: The two micro-portal VATS procedure is a safe and effective strategy for patients with lung cancer, which is associated with decreased surgical trauma and less postoperative pain. This emerging technology may benefit patients by enhancing comfort during their postoperative hospitalization.

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