Original articleGeneral thoracicUniportal Video-Assisted Thoracoscopic Lobectomy: Two Years of Experience
Section snippets
Material and Methods
A retrospective descriptive prevalence study was performed in patients undergoing a single-port approach for major pulmonary resections in the Minimally Invasive Thoracic Surgery Unit and Coruña Hospital (Spain) between June 29, 2010 and July 12, 2012. This study was approved by the review board at Coruña University Hospital and Minimally Invasive Thoracic Surgery Unit, and all patients provided written informed consent before operation. The primary endpoint of this study was to demonstrate the
Results
From June 29, 2010 to July 12, 2012, we attempted 102 major pulmonary resections using the uniportal approach. Most were performed by a single surgeon and an assistant, both with experience in VATS, specifically in the double-port technique for major pulmonary resections and the single-port technique for minor procedures. The demographic and preoperative patient characteristics are described in Table 1.
The anatomic pulmonary resections included right upper lobectomy in 28 patients (combined
Comment
VATS lobectomy for lung cancer was initially described in 1992 [3, 4]. Most authors describe the VATS approach to lobectomy using 3 to 4 incisions [5], but the operation can be performed using only 1 incision with similar outcomes [6]. Since June 2010, and after performing 95 cases using the 2-port approach, we began performing VATS lobectomies with a single incision [7].
The first reports of single-port procedures were described in abdominal operations [8]. Currently, those abdominal procedures
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