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The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy
Caiyang Liu1, Ran Ran2, Lei Luo1
1Department of Cardiothoracic Surgery, The First People's Hospital of Neijiang, No. 1866, West Section of Hanan Avenue, Shizhong District, Neijiang, 641000, Sichuan, China.
Journal of Cardiothoracic Surgery
|January 10, 2023
Summary
The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy (UVATRUL) significantly reduces operative time and instrument use compared to traditional techniques. This optimized approach offers an effective alternative for UVATRUL procedures.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Surgical Techniques
Background:
- Uniportal video-assisted thoracoscopic right upper lobectomy (UVATRUL) presents manipulation challenges.
- A novel 'three steps method' was developed to address these difficulties.
Purpose of the Study:
- To investigate the feasibility and efficacy of the three steps method for UVATRUL.
- To compare the outcomes of the three steps method with the traditional UVATRUL.
Main Methods:
- Retrospective analysis of 48 patients undergoing the three steps method UVATRUL.
- Comparison with 47 patients who underwent traditional UVATRUL.
- Analysis of intraoperative and postoperative outcomes, including operative time and complications.
Main Results:
- No significant differences in blood loss, conversion rates, drainage, or complications between groups.
- The three steps method group showed significantly shorter operative time (P < 0.001).
- Reduced use of reloads was observed in the three steps method group (P = 0.014).
Conclusions:
- The three steps method streamlines UVATRUL procedures.
- This technique effectively shortens operative time and reduces instrument usage.
- The three steps method is a viable and effective approach for UVATRUL.
