Multiport Versus Single-Port Video-Assisted Thoracic Surgery for Pulmonary Resection.

Area of Science:

• Thoracic Surgery
• Minimally Invasive Procedures
• Oncology

Background:

• Numerous studies have compared Uniportal Video-Assisted Thoracic Surgery (UVATS) with Multiportal VATS (MVATS) for anatomic lung resections.
• A comprehensive review is needed to consolidate findings on the relative benefits and lessons learned from comparing these two surgical approaches.

Purpose of the Study:

• To evaluate the comparative benefits of UVATS versus MVATS in anatomic lung resection.
• To understand the insights gained from comparing these surgical techniques.
• To determine if comparative data should inform current surgical practices.

Main Methods:

• A narrative review and qualitative analysis of existing literature.
• Focus on studies comparing UVATS and MVATS, particularly those with rigorous methodologies.

Main Results:

• UVATS demonstrates equivalent safety and comparable treatment outcomes (lymph node yield, survival) to MVATS.
• UVATS shows similar or improved post-operative outcomes, notably reduced pain.
• Learning curves for both approaches are broadly similar, with a trend towards more rigorous comparative studies.

Conclusions:

• Over a decade of research validates UVATS as a mainstream approach for minimally invasive pulmonary resections, showing non-inferiority to MVATS.
• Comparative studies enhance clinical research practices and patient-centered outcome awareness.
• UVATS is a well-established, effective alternative for lung resections.