Application of single-microport assisted micro-uni-port thoracoscopy surgery in up-lobectomy
- VernacularTitle:单微孔辅助下微小单孔胸腔镜在肺上叶切除术中的应用
- Author:
Pu ZHANG
;
Ziliang LI
;
Huan LIU
;
Kang GUO
1
;
Juan CHEN
1
;
Jiangli SHANG
1
;
Sanming DENG
1
;
Kai CUI
1
;
Wenhai LI
1
;
Wuping WANG
1
;
Xiaofei LI
1
Author Information
1. Thoracic Surgery Department of Xi’an International Medical Center Hospital, Xi’an, 710100, P. R. China
- Publication Type:Journal Article
- Keywords:
Single-microport assisted micro-uni-port thoracoscopy surgery;
uniportal video assisted thoracic surgery;
radical resection of lung cancer;
minimally invasive
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(08):1240-1245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the technical essentials of single-microport assisted micro-uni-port thoracoscopic surgery, and to investigate its surgical efficacy and promotional value. Methods Clinical data of patients who consecutively underwent radical upper lobectomy in the Department of Thoracic Surgery of Xi'an International Medical Center Hospital from March 2023 to June 2024 were retrospectively analyzed. According to the surgical approach, patients were divided into two groups: the single-microport assisted group (underwent upper lobectomy via single-microport assisted micro-uni-port thoracoscopy) and the traditional uniportal group (underwent traditional uniportal thoracoscopic lobectomy). Clinical outcomes were compared between the two groups. Results A total of 62 patients were enrolled. There were 30 patients in the single-microport assisted group, with a mean age of (57.4±10.8) years, and 32 patients in the traditional uniportal thoracoscopic group, with a mean age of (57.6±8.7) years. The baseline data were comparable between the two groups. All patients in both groups successfully underwent minimally invasive surgery without conversion to thoracotomy. The operative time in the single-microport assisted group was significantly shorter than that in the traditional uniportal group [(146.03±30.79) min vs. (171.41±36.41) min, P=0.004]. However, there were no statistically significant differences between the two groups in intraoperative blood loss, number of dissected lymph nodes, duration of chest tube drainage, postoperative pain score, postoperative hospital stay, hospitalization cost, or incidence of postoperative complications (all P>0.05). Conclusion Single-microport assisted micro-uni-port thoracoscopic surgery for upper lobectomy can maximally integrate the advantages of three-port and uni-port VATS while effectively avoiding their disadvantages. It significantly shortens the operative time without increasing postoperative pain or complications, and represents a more minimally invasive, safer, and more convenient surgical approach.
