Author:
Wang Jun,Xu Meiqing,Zhang Chuankai,Wei Dazhong
Abstract
Abstract
Objective
To investigate the efficacy and safety of simultaneous subxiphoid single-port thoracoscopic resection of bilateral lung lesions.
Methods
This retrospective study analyzed the clinical data of 72 patients who underwent resection of bilateral lung lesions at the Department of Thoracic Surgery in the First Affiliated Hospital of University of Science and Technology of China between August 2020 and January 2022. Surgery-related parameters were compared between patients who underwent subxiphoid single-port thoracoscopy (subxiphoid group, 36 patients) and patients who underwent intercostal single-port thoracoscopy (intercostal group, 36 patients).
Results
Compared to the intercostal group, the subxiphoid group exhibited significantly better postoperative catheterization time (P = 0.013), postoperative thoracic drainage, postoperative visual analog scale pain scores at 24 and 48 h, and incision pain and numbness at 1 and 3 months after surgery (all P < 0.05). There were no significant differences in operation time, intraoperative blood loss, or postoperative complications between the two groups (all P > 0.05). There were no cases of perioperative mortality, conversion to thoracotomy, or serious complications in either group.
Conclusion
Subxiphoid single-port thoracoscopic surgery for simultaneous resection of bilateral lung lesions is safe and effective, reduces postoperative acute and chronic pain, decreases trauma, allows faster recovery, and is more consistent with the concept of minimally invasive surgery than bilateral intercostal single-port thoracoscopy. Thus, this subxiphoid single-port thoracoscopic surgery approach should be considered for clinical application.
Publisher
Springer Science and Business Media LLC
Reference15 articles.
1. Cai H, Xie D, Al Sawalhi S, Jiang L, Zhu Y, Jiang G, et al. Subxiphoid versus intercostal uniportal video-assisted thoracoscopic surgery for bilateral lung resections: a single-institution experience. Eur J Cardiothorac Surg. 2020;57:343–9.
2. Bendixen M, Jørgensen OD, Kronborg C, et al. Postoperative pain and quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: a randomized controlled trial. Lancet Oncol. 2016;17:836–44.
3. Wang L, Liu D, Lu J, et al. The feasibility and advantage of uniportal video assisted thoracoscopic surgery (VATS) in pulmonary lobectomy. BMC Cancer. 2017;17:75.
4. Kutluk AC, Kocaturk CI, Akin H, et al. Which is the best minimal invasive approach for the treatment of spontaneous pneumothorax? Uniport, two, or three ports: a prospective randomized trail. Thorac Cardiovasc Surg. 2018;66:589–94.
5. Siu E, Quick JS, Xu X, et al. Evaluation of the determinants of satisfaction with postoperative pain control after thoracoscopic surgery: a single-center. Survey-Based Study Anesth Analg. 2019;128:555–62.
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