Comparison of single port versus multiport thoracoscopic segmentectomy

Area of Science:

• Thoracic Surgery
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Single-port thoracoscopic segmentectomy presents challenges in early-stage lung cancer treatment.
• Video-assisted thoracoscopic surgery (VATS) is a key technique for lung cancer resection.

Purpose of the Study:

• To evaluate the feasibility of single-port VATS segmentectomy.
• To compare single-port VATS segmentectomy with conventional multi-port VATS.

Main Methods:

• Retrospective analysis of 45 patients undergoing pulmonary segmentectomy (March 2006 - October 2015).
• Comparison of operative outcomes between 34 single-port and 11 multi-port VATS cases.
• Inclusion of primary lung cancers, benign lung diseases, and secondary lung cancers.

Main Results:

• No significant differences in operation time, lymph node dissection, intraoperative events, or prolonged air leak between single-port and multi-port VATS.
• Single-port VATS demonstrated reduced postoperative morbidity (P<0.001) and shorter hospital stay (P=0.029).
• Mean tumor size in malignancy cases was 1.8±0.7 cm; 44.4% required preoperative localization.

Conclusions:

• Single-port VATS segmentectomy is a safe and feasible surgical option.
• This approach is suitable for patients with early lung cancer and benign lung conditions.
• The technique offers advantages in terms of reduced postoperative complications and length of stay.