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Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study

BACKGROUND: Uniportal video-assisted thoracic surgery (VATS) basal segmentectomy is technically challenging and requires a deep understanding of the segmental anatomy of the lung. This report describes the uniportal VATS segmentectomy of basal segments using a single-direction approach. METHODS: A t...

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Autores principales: Tang, Yudong, Liu, Chengwu, Guo, Chenglin, Pu, Qiang, Mei, Jiandong, Zhu, Yunke, Ma, Lin, Zardo, Patrick, Ferrari, Paolo A., Hirai, Kyoji, Igai, Hitoshi, AlGhamdi, Zeead M., Liu, Lunxu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9641035/
https://www.ncbi.nlm.nih.gov/pubmed/36386453
http://dx.doi.org/10.21037/tlcr-22-651
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author Tang, Yudong
Liu, Chengwu
Guo, Chenglin
Pu, Qiang
Mei, Jiandong
Zhu, Yunke
Ma, Lin
Zardo, Patrick
Ferrari, Paolo A.
Hirai, Kyoji
Igai, Hitoshi
AlGhamdi, Zeead M.
Liu, Lunxu
author_facet Tang, Yudong
Liu, Chengwu
Guo, Chenglin
Pu, Qiang
Mei, Jiandong
Zhu, Yunke
Ma, Lin
Zardo, Patrick
Ferrari, Paolo A.
Hirai, Kyoji
Igai, Hitoshi
AlGhamdi, Zeead M.
Liu, Lunxu
author_sort Tang, Yudong
collection PubMed
description BACKGROUND: Uniportal video-assisted thoracic surgery (VATS) basal segmentectomy is technically challenging and requires a deep understanding of the segmental anatomy of the lung. This report describes the uniportal VATS segmentectomy of basal segments using a single-direction approach. METHODS: A total of 49 patients who underwent uniportal VATS basal segmentectomy between April 2019 and April 2021 were included in this retrospective study. All the surgeries were conducted using a single-direction approach. The resections of segments 7–8 were mainly performed using the interlobar fissure approach, while the resections of segments 9–10 were performed using the inferior pulmonary ligament approach. RESULTS: A total of 33 patients underwent a single basal segmentectomy and 16 patients underwent combined basal segmentectomy/sub-segmentectomy. The median operative time was 120 min (range, 60–180 min), and the median blood loss was 20 mL (range, 10–100 mL). The median chest tube duration was 2 days (range, 1–5 days), and the median hospital stay after surgery was 4 days (range, 2–15 days). The morbidity rate after surgery was 6.1% (3/49). There were no perioperative deaths. The pathological examinations revealed 3 cases of adenocarcinoma in situ (AIS), 33 cases of minimally invasive adenocarcinoma, and 13 cases of lepidic-predominant invasive adenocarcinoma. No recrudescence or mortality was reported during the median follow-up time of 7 months (range, 2–25 months). CONCLUSIONS: Uniportal VATS basal segmentectomy is a feasible and reliable technique based on our experience. This single-direction method allows the uniportal VATS basal segmentectomy to be performed in an easy manner with the targeted segmental bronchi and vessels exposed from superficial to deep in order of their appearance while avoiding the repeated turnover of the lung.
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spelling pubmed-96410352022-11-15 Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study Tang, Yudong Liu, Chengwu Guo, Chenglin Pu, Qiang Mei, Jiandong Zhu, Yunke Ma, Lin Zardo, Patrick Ferrari, Paolo A. Hirai, Kyoji Igai, Hitoshi AlGhamdi, Zeead M. Liu, Lunxu Transl Lung Cancer Res Original Article BACKGROUND: Uniportal video-assisted thoracic surgery (VATS) basal segmentectomy is technically challenging and requires a deep understanding of the segmental anatomy of the lung. This report describes the uniportal VATS segmentectomy of basal segments using a single-direction approach. METHODS: A total of 49 patients who underwent uniportal VATS basal segmentectomy between April 2019 and April 2021 were included in this retrospective study. All the surgeries were conducted using a single-direction approach. The resections of segments 7–8 were mainly performed using the interlobar fissure approach, while the resections of segments 9–10 were performed using the inferior pulmonary ligament approach. RESULTS: A total of 33 patients underwent a single basal segmentectomy and 16 patients underwent combined basal segmentectomy/sub-segmentectomy. The median operative time was 120 min (range, 60–180 min), and the median blood loss was 20 mL (range, 10–100 mL). The median chest tube duration was 2 days (range, 1–5 days), and the median hospital stay after surgery was 4 days (range, 2–15 days). The morbidity rate after surgery was 6.1% (3/49). There were no perioperative deaths. The pathological examinations revealed 3 cases of adenocarcinoma in situ (AIS), 33 cases of minimally invasive adenocarcinoma, and 13 cases of lepidic-predominant invasive adenocarcinoma. No recrudescence or mortality was reported during the median follow-up time of 7 months (range, 2–25 months). CONCLUSIONS: Uniportal VATS basal segmentectomy is a feasible and reliable technique based on our experience. This single-direction method allows the uniportal VATS basal segmentectomy to be performed in an easy manner with the targeted segmental bronchi and vessels exposed from superficial to deep in order of their appearance while avoiding the repeated turnover of the lung. AME Publishing Company 2022-10 /pmc/articles/PMC9641035/ /pubmed/36386453 http://dx.doi.org/10.21037/tlcr-22-651 Text en 2022 Translational Lung Cancer Research. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Tang, Yudong
Liu, Chengwu
Guo, Chenglin
Pu, Qiang
Mei, Jiandong
Zhu, Yunke
Ma, Lin
Zardo, Patrick
Ferrari, Paolo A.
Hirai, Kyoji
Igai, Hitoshi
AlGhamdi, Zeead M.
Liu, Lunxu
Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
title Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
title_full Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
title_fullStr Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
title_full_unstemmed Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
title_short Uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
title_sort uniportal video-assisted thoracic surgery basal segmentectomy: a single-center retrospective cohort study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9641035/
https://www.ncbi.nlm.nih.gov/pubmed/36386453
http://dx.doi.org/10.21037/tlcr-22-651
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