Uniportal video-assisted thoracoscopic surgery, Argentinian experience

Area of Science:

• Thoracic Surgery
• Minimally Invasive Surgery
• Video-Assisted Thoracoscopic Surgery

Background:

• Uniportal video-assisted thoracoscopic surgery (VATS) acceptance is increasing in South America.
• This study details the initial experience with uniportal VATS in Buenos Aires, Argentina.

Purpose of the Study:

• To evaluate the safety and efficacy of uniportal VATS for various thoracic procedures.
• To analyze morbidity, mortality, conversion rates, and hospital stay associated with uniportal VATS.

Main Methods:

• Retrospective analysis of 181 patients undergoing uniportal VATS between December 2013 and October 2016.
• Procedures included minor (e.g., pneumothorax, biopsy) and major thoracic operations (e.g., lobectomy).

Main Results:

• 181 patients (59% male, 41% female, mean age 58.7) underwent uniportal VATS.
• Low conversion rate (2 in major resections) and revision rate (1 for hemothorax).
• Mean hospital stay was 4.9 days, with reduced complications and pain reported.

Conclusions:

• Uniportal VATS is a safe and effective technique for thoracic surgery.
• It maintains oncological principles while reducing surgical trauma and hospital stay.
• Lower postoperative morbidity and mortality are associated with uniportal VATS compared to traditional methods.