• 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;
WANG Wenping, Email: drwangwp@163.com
Export PDF Favorites Scan Get Citation

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.

Citation: KUANG Bijing, ZHANG Jing, NIU Lingli, MA Lin, LIU Chengwu, ZHANG Xiaolong, WANG Wenping. Clinical application and learning curve of uniportal thoracoscopy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(7): 826-829. doi: 10.7507/1007-4848.202102056 Copy

  • Previous Article

    Risk factors for postoperative retention of urinary catheters in patients with lung tumors under concept of enhanced recovery after surgery: A case-control study
  • Next Article

    Analysis of a surgical series of patients with synchronous multiple ground-glass nodules