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Related Experiment Video

Updated: Nov 28, 2025

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Uniportal versus Multiportal Thoracoscopic Complex Segmentectomy: Propensity Matching Analysis.

Ying-Yuan Chen1, Wei-Li Huang1, Chao-Chun Chang1

  • 1Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|November 26, 2020
PubMed
Summary
This summary is machine-generated.

Uniportal video-assisted thoracoscopic surgery (VATS) complex segmentectomy offers shorter operation times and hospital stays compared to multiportal VATS. This approach is not inferior and is a viable option for thoracic surgeons.

Keywords:
complex segmentectomymultiportalpropensity scoreuniportalvideo-assisted thoracoscopic surgery

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Complex segmentectomy via video-assisted thoracoscopic surgery (VATS) presents challenges.
  • Comparing uniportal VATS (UVATS) and multiportal VATS (MVATS) for complex segmentectomies is crucial for surgical practice.

Purpose of the Study:

  • To compare perioperative outcomes between uniportal and multiportal VATS for complex segmentectomy.
  • To evaluate the efficacy and safety of UVATS in complex segmentectomy procedures.

Main Methods:

  • Retrospective analysis of 122 UVATS and 57 MVATS complex segmentectomies.
  • Propensity score matching created comparable groups of 56 patients each.
  • Crude and PS-matched analyses assessed short-term perioperative outcomes.

Main Results:

  • UVATS demonstrated significantly shorter operation times, pleural drainage duration, and postoperative hospital stays both before and after propensity score matching.
  • No significant differences were observed in lymph node dissection or complication rates between the two groups.
  • Propensity score matching confirmed the superiority of UVATS in reducing drainage duration and hospital stay.

Conclusions:

  • Uniportal VATS complex segmentectomy is not inferior to multiportal VATS regarding perioperative outcomes.
  • UVATS represents a viable and potentially advantageous surgical approach for complex segmentectomies.