Related Experiment Video
Updated: May 1, 2026
14:45
Technical Detail for Robot Assisted Pancreaticoduodenectomy
Published on: September 28, 2019
14.3K
Initial outcomes with uniportal video-assisted lung resection
James Shahoud1, Benny Weksler2, Brent Williams2
1Department of Surgery, Allegheny General Hospital, Pittsburgh, United States.
Summary
Uniportal video-assisted lung resection is safe and effective, showing good short-term outcomes. While lymph node dissection improved with experience, no significant learning curve was observed for surgeons transitioning from multiportal approaches.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Uniportal video-assisted thoracoscopic surgery (VATS) adoption is low in North America.
- A surgeon experienced in multiportal VATS shares their early experience with the uniportal technique.
Purpose of the Study:
- Evaluate short-term outcomes of uniportal VATS lung resection.
- Assess the learning curve and oncological outcomes for non-small cell lung cancer patients.
Main Methods:
- 212 patients underwent uniportal lung resection over 45 months.
- Procedures included lobectomies, segmentectomies, and wedge resections.
- Data collected on conversion rates, adverse events, hospital stay, and lymph node dissection.
Main Results:
- The study included 128 lobectomies, 41 segmentectomies, and 40 wedge resections.
- Conversion to multiportal VATS or thoracotomy was required in 12.8% of cases.
- Major adverse events occurred in 6.1%, with a 1.4% mortality rate. Median hospital stay was 3 days.
Conclusions:
- Uniportal VATS lung resection is a safe procedure with favorable perioperative results.
- Lymph node dissection quality improved with surgical experience.
- No significant learning curve was identified when transitioning from multiportal VATS.
Related Concept Videos
01:21Tracheostomy Decannulation
3.1K
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
3.1K
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
958
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
958