ArticleAnnals of cardiothoracic surgery2016
Uniportal video-assisted thoracoscopic surgery: safety, efficacy and learning curve during the first 250 cases in Quebec, Canada.
Article in Annals of cardiothoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- A comparison of extraluminal and intraluminal use of the Uniblocker in left thoracic surgery: A CONSORT-compliant article.Medicine · 2017Trial
- The unified front: a multidisciplinary approach in the Era of uniportal thoracic surgery.Frontiers in surgery · 2026Review
- Postoperative pain outcomes following uniportal vs. multiportal video-assisted thoracoscopic surgery: a systematic review and meta-analysis.Frontiers in surgery · 2025Review
- A hybrid approach incorporating uniportal thoracoscopy for lobectomy with en bloc chest wall resection.JTCVS techniques · 2024Article
- How I do it: Uniportal video-assisted thoracoscopic lobectomy.JTCVS techniques · 2024Article
- Export priority technique for Uni-portal thoracoscopic left upper lobectomy.Journal of cardiothoracic surgery · 2024Article
- Article
- The learning curve on uniportal video-assisted thoracoscopic lobectomy with the help of postoperative review of videos.Frontiers in oncology · 2023Article
- Management of middle lobe veins during single-portal video-assisted thoracoscopic surgery lobectomy via the fifth intercostal approach (case series): why the subcarinal triangular right base angle is helpful.Journal of thoracic disease · 2022Article
- Current perspective on uniportal and multiportal video-assisted thoracic surgery during lobectomy for lung cancer.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2022Review
- Magnetic anchor technique-assisted thoracoscopic lobectomy in beagles.Scientific reports · 2022Article
- Outcomes of Single-Incision Thoracoscopic Surgery Using the Spinal Needle Anchoring Technique for Primary Spontaneous Pneumothorax.Journal of chest surgery · 2022Article
- Surgical Effectiveness of Uniportal-VATS Lobectomy Compared to Open Surgery in Early-Stage Lung Cancer.Frontiers in surgery · 2022Article
- Video-assisted thoracic surgery sleeve resection and bronchoplasty using 3D imaging system: its safety and efficacy.Journal of cardiothoracic surgery · 2021Article
- Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery.Journal of cardiothoracic surgery · 2021Article
- Uniportal versus three-port video-assisted thoracoscopic surgery for non-small cell lung cancer: A retrospective study.Thoracic cancer · 2021Article
- Current role of uniportal video-assisted thoracic surgery for lung cancer treatment.Journal of clinical and translational research · 2020Article
- Uniportal VATS for non-small cell lung cancer.General thoracic and cardiovascular surgery · 2020Review
- Uniportal versus multiportal video-assisted thoracoscopic surgery in the treatment of lung cancer: a Canadian single-centre retrospective studyCanadian journal of surgery. Journal canadien de chirurgie · 2019Observational
- Feasibility and safety of reduced-port video-assisted thoracoscopic surgery using a needle scope for pulmonary lobectomy- retrospective study.Annals of medicine and surgery (2012) · 2019Article
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2 authors.
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Abstract
backgroundVideo-assisted thoracoscopic surgery (VATS) using a single incision (uniportal) may result in better pain control, earlier mobilization and shorter hospital stays. Here, we review the safety and efficiency of our initial experience with uniportal VATS and evaluate our learning curve.
methodsWe conducted a retrospective review of uniportal VATS using a prospectively maintained departmental database and analyzed patients who had undergone a lung anatomic resection separately from patients who underwent other resections. To assess the learning curve, we compared the first 10 months of the study period with the second 10 months.
resultsFrom January 2014 to August 2015, 250 patients underwent intended uniportal VATS, including 180 lung anatomic resections (72%) and 70 other resections (28%). Lung anatomic resection was successfully completed using uniportal VATS in 153 patients (85%), which comprised all the anatomic segmentectomies (29 patients), 80% (4 of 5) of the pneumonectomies and 82% (120 of 146) of the lobectomies attempted. The majority of lung anatomic resections that required conversion to thoracotomy occurred in the first half of our study period. Seventy patients underwent other uniportal VATS resections. Wedge resections were the most common of these procedures (25 patients, 35.7%). Although 24 of the 70 patients (34%) required the placement of additional ports, none required conversion to thoracotomy.
conclusionsUniportal VATS was safe and feasible for both standard and complex pulmonary resections. However, when used for pulmonary anatomic resections, uniportal VATS entails a steep learning curve.
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