Chinese expert consensus on the uniportal video-assisted thoracoscopic surgery for lung cancer: An interpreation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

DONG Dong , HAN Dingpei ^董 , CAO Yuqin , WU Han , CHEN Kai , XIANG Jie , CHE Jiaming , ZHU Lianggang , Hang Junbiao ,  LI Hecheng

Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P.R.China;

Corresponding author：

LI Hecheng, Email: lihecheng2000@hotmail.com

Keywords：

Uniportal video-assisted thoracoscopic surgery; lung cancer; expert consensus; clinical interpretation

DOI：

10.7507/1007-4848.202011024

Video：

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Uniportal video-assisted thoracic surgery (UniVATS) is a significant approach of mini-invasive surgery for lung cancer. UniVATS was first used for treatment of lung cancer in 2010. The European consensus and the Chinese consensus were published in 2019 and 2020 respectively. The latest Chinese consensus included the definition of UniVATS, indications for lung cancer treatment, safety and feasibility, surgical skills, learning curve, short-term and long-term results, providing suggestions for the standardization of uniportal video-assisted thoracic surgery, which are essential to improve the quality of surgery and reduce the incidence of related complications. The Chinese consensus also summarized the current status of subxiphoid UniVATS and non-intubated UniVATS for lung cancer. Considering the technical difficulties and challenges, the application of both technologies in clinical treatment has certain limitation. This article aims to give an interpretation of the results of the Chinese consensus and the similarities and to compare the differences with the European consensus, and to provide a reference for the majority of thoracic surgery colleagues.

Citation： DONG Dong, HAN Dingpei, CAO Yuqin, WU Han, CHEN Kai, XIANG Jie, CHE Jiaming, ZHU Lianggang, Hang Junbiao, LI Hecheng. Chinese expert consensus on the uniportal video-assisted thoracoscopic surgery for lung cancer: An interpreation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(2): 137-145. doi: 10.7507/1007-4848.202011024 Copy

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1. Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg, 2004, 77(2): 726-728.
2. Bertolaccini L, Rocco G, Pardolesi A, et al. The geometric and rrgonomic sppeal of uniportal video-assisted thoracic surgery. Thorac Surg Clin, 2017, 27(4): 331-338.
3. Gonzalez D, Paradela M, Garcia J, et al. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg, 2011, 12(3): 514-515.
4. Duan L, Jiang G, Yang Y. One hundred and fifty-six cases of anatomical pulmonary segmentectomy by uniportal video-assisted thoracic surgery: a 2-year learning experience. Eur J Cardiothorac Surg, 2018, 54(4): 677-682.
5. Han DP, Xiang J, Jin RS, et al. Uniportal video-assisted thoracic surgery for complicated pulmonary resections. J Vis Surg, 2016, 2: 150.
6. Han DP, Chen K, Zhang YJ, et al. Uniportal video-assisted thoracoscopic combined segmentectomy for lung cancer with incomplete fissure. J Thorac Dis, 2017, 9(4): 1140-1143.
7. Bertolaccini L, Batirel H, Brunelli A, et al. Corrigendum to 'Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)' [Eur J Cardiothorac Surg 2019; 56: 224-9]. Eur J Cardiothorac Surg, 2019, 56(3): 628-629.
8. Han D, Cao Y, Wu H, et al. Uniportal video-assisted thoracic surgery for the treatment of lung cancer: a consensus report from Chinese Society for Thoracic and Cardiovascular Surgery (CSTCVS) and Chinese Association of Thoracic Surgeons (CATS). Transl Lung Cancer Res, 2020, 9(4): 971-987.
9. Shen Y, Zhang Y, Sun J, et al. Transaxillary uniportal video assisted thoracoscopic surgery for right upper lobectomy. J Thorac Dis, 2018, 10(3): E214-E217.
10. Zieliński M, Nabialek T, Pankowski J. Transcervical uniportal pulmonary lobectomy. J Vis Surg, 2018, 4: 42.
11. Stamenovic D, Bostanci K, Messerschmidt A. Posterior uniportal video-assisted thoracoscopic surgery for anatomical lung resections. J Thorac Dis, 2017, 9(12): 5261-5266.
12. Liu R, Tan Q, Huang J, et al. Uniportal video assisted thoracic surgery with 2 cm skin incision for right middle lobectomy with systematic lymphadenectomy. J Thorac Dis, 2017, 9(11): 4592-4596.
13. Liu Z, Yang R, Shao F, et al. Modified procedure of uniportal video-assisted thoracoscopic lobectomy with muscle sparing incision. Ann Transl Med, 2016, 4(19): 367.
14. Palleschi A, Mendogni P, Mariolo AV, et al. An alternative chest tube placement after uniportal video-assisted thoracic surgery. J Thorac Dis, 2018, 10(5): 3078-3080.
15. Kao CN, Chang CW, Hsieh MC, et al. Pre-embedding subcutaneous suture for chest-tube insertion in uniportal video-assisted thoracoscopic surgery. J Thorac Dis, 2017, 9(10): E938-E940.
16. Ismail M, Nachira D, Swierzy M, et al. Uniportal video-assisted thoracoscopy major lung resections after neoadjuvant chemotherapy. J Thorac Dis, 2018, 10(Suppl 31): S3655-S3661.
17. Yang Z, Zhai C. Uniportal video-assisted thoracoscopic surgery following neoadjuvant chemotherapy for locally-advanced lung cancer. J Cardiothorac Surg, 2018, 13(1): 33.
18. Koryllos A, Stoelben E. Uniportal video-assisted thoracoscopic surgery (VATS) sleeve resections for non-small cell lung cancer patients: an observational prospective study and technique analysis. J Vis Surg, 2018, 4: 16.
19. Abu Akar F, Yang C, Lin L, et al. Intra-pericardial double sleeve uniportal video-assisted thoracoscopic surgery left upper lobectomy. J Vis Surg, 2017, 3: 51.
20. Gonzalez-Rivas D, Yang Y, Sekhniaidze D, et al. Uniportal video-assisted thoracoscopic bronchoplastic and carinal sleeve procedures. J Thorac Dis, 2016, 8(Suppl 2): S210-S222.
21. Lyscov A, Obukhova T, Ryabova V, et al. Double-sleeve and carinal resections using the uniportal VATS technique: a single centre experience. J Thorac Dis, 2016, 8(Suppl 3): S235-S241.
22. Gonzalez-Rivas D, Yang Y, Stupnik T, et al. Uniportal video-assisted thoracoscopic bronchovascular, tracheal and carinal sleeve resections. Eur J Cardiothorac Surg, 2016, 49(Suppl 1): i6-i16.
23. Nwogu CE, Yendamuri S, Demmy TL. Does thoracoscopic pneumonectomy for lung cancer affect survival? Ann Thorac Surg, 2010, 89(6): S2102-S2106.
24. Nagai S, Imanishi N, Matsuoka T, et al. Video-assisted thoracoscopic pneumonectomy: retrospective outcome analysis of 47 consecutive patients. Ann Thorac Surg, 2014, 97(6): 1908-1913.
25. Halezeroğlu S. Single incision video-assisted thoracic surgery pneumonectomy for centrally located lung cancer. Future Oncol, 2018, 14(6Suppl): 41-45.
26. Vannucci F, Vieira A, Ugalde PA. The technique of VATS right pneumonectomy. J Vis Surg, 2018, 4: 11.
27. Wang BY, Liu CY, Hsu PK, et al. Single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy: a propensity-matched analysis. Ann Surg, 2015, 261(4): 793-799.
28. Han KN, Kim HK, Lee HJ, et al. Single-port video-assisted thoracoscopic pulmonary segmentectomy: a report on 30 cases†. Eur J Cardiothorac Surg, 2016, 49(Suppl 1): i42-i47.
29. Hernandez-Arenas LA, Purmessur RD, Gonzalez-Rivas D. Uniportal video-assisted thoracoscopic segmentectomy. J Thorac Dis, 2018, 10(Suppl 10): S1205-S1214.
30. Lin MW, Tseng YH, Lee YF, et al. Computed tomography-guided patent blue vital dye localization of pulmonary nodules in uniportal thoracoscopy. J Thorac Cardiovasc Surg, 2016, 152(2): 535-544.
31. Sugi K, Sudoh M, Hirazawa K, et al. Intrathoracic bleeding during video-assisted thoracoscopic lobectomy and segmentectomy. Kyobu Geka, 2003, 56(11): 928-931.
32. Liang C, Wen H, Guo Y, et al. Severe intraoperative complications during VATS lobectomy compared with thoracotomy lobectomy for early stage non-small cell lung cancer. J Thorac Dis, 2013, 5(4): 513-517.
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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Chinese expert consensus on the uniportal video-assisted thoracoscopic surgery for lung cancer: An interpreation

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