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Updated: Jan 30, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Is single-port video-assisted thoracic surgery for mediastinal cystectomy feasible?
Nanqing Jiang1, Yiming Lu1, Jun Wang2
1Department of Cardiothoracic Surgery, The First People's Hospital of Changzhou, The Third Affiliated Hospital of Soochow University, 185 Juqian Road, Changzhou, 213003, Jiangsu, China.
Background:
Video-assisted thoracic surgery (VATS) for mediastinal cysts has been used with increasing frequency. Both single-port VATS and three-port VATS procedures are used for mediastinal cystectomy. Few studies have been published to compare three-port VATS and single-port VATS procedures in mediastinal cystectomy.
Methods:
Forty-five patients with mediastinal cysts who underwent single-port procedures (n = 23) or three-port procedures (n = 22) in our department from January 2016 to July 2018 were retrospectively analysed. The perioperative conditions and pathological findings were analysed.
Results:
The single-port group showed shorter operation times [45 (35-60) vs 55 (45-80) min, p = 0.013], less retention time of the thoracic drainage tube [27(24-48) vs 48(48-70) p < 0.001)], shorter postoperative hospital stays [5(4-6) vs 7(5-7), p = 0.011] and less costs [2.0)1.2-2.5) vs 2.5(1.9-3.5), p = 0.032] than those of the three-port group. No difference was found in case conversions to open procedures (p > 0.99) or second operations (p > 0.99). Logistic regression analysis showed that the surgical method (p = 0.426) and surgeon experience (p = 0.719) were not independent prognostic factors for the success of surgery.
Conclusions:
The single-port VATS procedure was not inferior to the three-port VATS procedure for mediastinal cystectomy. The single-port VATS procedure is a feasible choice for mediastinal cystectomy.
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