Related Experiment Video
Updated: Apr 29, 2026
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy: a propensity-matched analysis
Bing-Yen Wang1, Chao-Yu Liu, Po-Kuei Hsu
1*Division of Thoracic Surgery, Department of Surgery, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan †Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital and Institute of Medicine, Chung Shan Medical University, Chung, Taichung, Taiwan ‡Division of Thoracic Surgery, Department of Surgery, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan §Division of Thoracic Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Single-incision thoracoscopic surgery for lung cancer offers comparable outcomes to the multiple-incision approach. This minimally invasive technique shows benefits in operative time, lymph node yield, and blood loss.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Limited data exists on single-incision thoracoscopic lobectomy and segmentectomy for lung cancer.
- Comparative studies between single-incision and multiple-incision thoracoscopic approaches are lacking.
Purpose of the Study:
- To compare perioperative outcomes of single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy.
- To evaluate the feasibility and safety of single-incision thoracoscopic pulmonary resections.
Main Methods:
- A retrospective analysis of 233 lung cancer patients undergoing thoracoscopic lobectomy or segmentectomy.
- Propensity-matched analysis comparing single-incision and multiple-incision techniques.
- Inclusion of preoperative variables for outcome comparison.
Main Results:
- No significant differences in hospital stay or complication rates between groups.
- Single-incision approach demonstrated shorter operative time (P=0.029).
- Increased lymph node retrieval (P=0.032) and reduced blood loss (P=0.017) with single-incision.
- Zero in-hospital mortality in both groups.
Conclusions:
- Single-incision thoracoscopic lobectomy and segmentectomy are feasible surgical options.
- Perioperative outcomes are comparable to the traditional multiple-incision approach.
- The single-incision technique offers potential advantages in operative efficiency and specimen quality.
