Clinical application and learning curve of uniportal thoracoscopy
- VernacularTitle:单孔胸腔镜技术的临床应用及学习曲线
- Author:
Bijing KUANG
1
;
Jing ZHANG
2
;
Lingli NIU
3
,
4
;
Lin MA
1
;
Chengwu LIU
1
;
Xiaolong ZHANG
2
;
Wenping WANG
1
Author Information
1. Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, 610041, P.R.China
2. Department of Thoracic Surgery, Chengdu Shangjin Nanfu Hospital (Shangjin Branch of West China Hospital), Chengdu, 611743, P.R.China
3. 1. Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu, 610041, P.R.China
4. 2.Department of Thoracic Surgery, Chengdu Shangjin Nanfu Hospital (Shangjin Branch of West China Hospital), Chengdu, 611743, P.R.China
- Publication Type:Journal Article
- Keywords:
Thoracoscope;
uniport;
lobectomy;
segmentectomy;
wedge resection;
learning curve
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(07):826-829
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the operation outcomes and learning curve of uniportal video-assisted thoracoscopic surgery (VATS). Methods All consecutive patients who underwent uniportal VATS between November 2018 and December 2020 in Shangjin Branch of West China Hospital of Sichuan University were retrospectively enrolled, including 62 males and 86 females with a mean age of 50.1±13.4 years. Operations included lobectomy, segmentectomy, wedge resection, mediastinal mass resection and hemopneumothorax. Accordingly, patients' clinical features in different phases were collected and compared to determine the outcome difference and learning curve for uniportal VATS. Results Median postoperative hospital stay was 5 days, and the overall complication rate was 8.1% (12/148). There was no 30-day death after surgery or readmissions. Median postoperative pain score was 3. Over time, the operation time, incision length and blood loss were optimized in the uniportal VATS lobectomy, the incision length and blood loss increased in the uniportal VATS segmentectomy, and the postoperative hospital stay decreased in the uniportal VATS wedge resection. Conclusion Uniportal VATS is safe and feasible for both standard and complex pulmonary resections. While, no remarkable learning curve for uniportal VATS lobectomy is observed for experienced surgeon.
