Single-versus Two-port Video-assisted Thoracic Surgery in Thymoma:
A Propensity-matched Study.
10.3779/j.issn.1009-3419.2022.101.15
- Author:
Xingguo YANG
1
;
Lei YU
1
;
Zhen YU
1
;
Xiang GAO
1
;
Xin DU
1
Author Information
1. Department of Thoracic Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
- Publication Type:Journal Article
- Keywords:
Propensity-score matching;
Single-port;
Thymoma;
Video-assisted thoracoscopic surgery
- MeSH:
Adult;
Aged;
Female;
Humans;
Lung Neoplasms/surgery*;
Male;
Middle Aged;
Retrospective Studies;
Thoracic Surgery, Video-Assisted/methods*;
Thymoma/surgery*;
Thymus Neoplasms/surgery*
- From:
Chinese Journal of Lung Cancer
2022;25(4):253-258
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:In recent years, with the advancement of minimally invasive techniques, thoracoscopic thymoma resection has experienced a development process from three-port video-assisted thoracic surgery (VATS) to two-port (TP) and single-port (SP) variants. However, the feasibility and safety of SP-VATS have not been generally recognized. This study intends to explore the safety and feasibility of SP-VATS in thymoma resection, in order to provide a reference for clinical surgicalselection.
METHODS:The clinical data of 197 patients who underwent thoracoscopic thymoma resection in Beijing Tongren Hospital from January 2018 to September 2021 were retrospectively analyzed. The patients were divided into SP-VATS group (n=42) and TP-VATS group (n=155). After matching propensity scores, there is no statistically significant difference in preoperative baseline data between SP-VATS group and TP-VATS group. Among them, there were 17 males and 25 females with an average age of 28-72 (48.00±9.43) years in the SP-VATS group, and 20 males and 22 females with an average age of 30-75 (50.38±9.83) years in TP-VATS group. The clinical effects of the two groups were compared.
RESULTS:The operation was successfully completed in both groups, and there was no conversion to thoracotomy or increased surgical incisions. Compared with the TP-VATS group, the chest drainage time and hospital stay in the SP-VATS group were shorter [(2.95±0.76) d vs (3.33±0.85) d; (4.57±0.83) d vs (5.07±1.13) d], and the visual pain score at 24 h and 72 h after surgery were lower [(3.64±0.85) points vs (4.05±0.66) points; (2.33±0.75) points vs (3.07±0.68) points] (P<0.05). There was no statistically significant difference between the two groups in operation time [(130.00±26.23) min vs (135.24±27.03) min], intraoperative blood loss [(69.52±22.73) mL vs (82.38±49.23) mL] (P>0.05).
CONCLUSIONS:SP-VATS in thymoma is a safe, feasible, and less invasive procedure, with less postoperative pain and faster recovery than multi-port VATS.
