ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2016
Initial experience in uniportal subxiphoid video-assisted thoracoscopic surgery for major lung resections.
Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 53 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Feasibility and Advantages of Subxiphoid Uniportal Video-assisted Thoracoscopic Surgery in Pulmonary Lobectomy.A Retrospective Study
Comparison Study of Post-operative Pain and Quality of Life Between Subxiphoid and Intercostal Vedio-assisted Thoracic Surgery for Radical Lung Cancer Resection
Who cites it
53 citing papers in PubMed.
- Early postoperative pain after subxiphoid uniportal thoracoscopic major lung resection: a prospective, single- blinded, randomized controlled trial.Interactive cardiovascular and thoracic surgery · 2022Trial
- Current advances in mediastinal staging for non-small cell lung cancer: a narrative review.Translational lung cancer research · 2026Review
- Redefining thoracic access: subxiphoid uniportal VATS lung resection-recovery, opioid consumption and learning curve.Frontiers in surgery · 2026Article
- Uniportal VATS for anatomical lung resection: 15 years of innovation.Frontiers in surgery · 2026Review
- Uniportal video-assisted thoracoscopic surgery for lung cancer: the current opinions and future perspectives of thoracic surgeons in Japan.General thoracic and cardiovascular surgery · 2025Article
- Complex uniportal robotic-assisted sleeve resections under spontaneous ventilation and with double lumen intubation: a case series and a narrative review of the literature.Translational lung cancer research · 2025Review
- Comparison of the efficacy of subxiphoid and intercostal uniportal video-assisted thoracoscopic surgery in patients with early-stage non-small cell lung cancer.Pakistan journal of medical sciences · 2025Article
- Review
- A proof-of-concept study: advantages of the subxiphoid over the lateral intercostal approach.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Uniportal video-assisted anatomical segmentectomy: an analysis of the learning curve.World journal of surgical oncology · 2023Article
- Anterior mediastinal tumor surgery applying single-port thoracoscopy using the subxiphoid approach.Turk gogus kalp damar cerrahisi dergisi · 2023Article
- Role of subxiphoid uniportal video-assisted thoracoscopic surgery in pulmonary metastasectomy.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2022Review
- 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
- Article
- Uniportal Video-assisted Thoracoscopic Surgery (u-VATS) for Management of pulmonary hydatid cyst: A systematic review.Annals of medicine and surgery (2012) · 2022Review
- Advances and controversies in the management of early stage non-small cell lung cancer.World journal of clinical oncology · 2021Review
- Analysis of EGFR, KRAS, and PIK3CA gene mutation rates and clinical distribution in patients with different types of lung cancer.World journal of surgical oncology · 2021Article
- Subxifoid versus transthoracic thoracoscopic lobectomy: Results of a retrospective analysis before and after matching analysis.Thoracic cancer · 2021Article
- Effectiveness and postoperative pain level of single-port versus two-port thoracoscopic lobectomy for lung cancer: a retrospective cohort study.General thoracic and cardiovascular surgery · 2021Article
- Prognosis and Survival Analysis of 922,317 Lung Cancer Patients from the US Based on the Most Recent Data from the SEER Database (April 15, 2021).International journal of general medicine · 2021Article
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesUniportal subxiphoid video-assisted thoracoscopic (SVATS) surgery for major lung resections is a new approach, but clinical evidence is lacking. The aim of this study was to examine our experience with the use of the uniportal subxiphoid approach in video-assisted thoracoscopic (VATS) major lung resections and lymph node dissections.
methodsFrom October 2014 to August 2015, 153 patients with early-stage non-small-cell lung carcinoma (NSCLC) and benign disease underwent uniportal subxiphoid VATS major lung resections. Patients were placed in a lateral position with 60-70° inclination, and a 4- to 5-cm midline median or transverse incision was made below the sternocostal triangle. A 10-mm 30° video camera and VATS instruments were used through the same single incision. Perioperative variables and outcomes were collected prospectively and analysed retrospectively.
resultsOf the 153 patients who underwent surgery with the uniportal subxiphoid VATS approach, 105 had lobectomies and 48 had segmental resections; 135 cases of lung cancer and 18 cases of benign pulmonary disease were noted. Right upper lobectomy was the most common procedure (51%), and left upper lobectomy was the most time-consuming procedure (190 ± 21 min). The mean operating time was 166.9 ± 12.6 min; the average volume of blood loss was 127.5 ± 27.6 ml. In patients with lung cancer, the mean total number of lymph node stations explored was 3.4 ± 0.8. The duration of chest drain use was 2.6 ± 0.2 days. The length of hospital stay was 4.3 ± 0.4 days. Perioperative arrhythmia was the most common complication (13% of cases). Prolonged air leak was the cause of prolonged hospital stay. Five cases were converted to conventional VATS due to technical difficulties, and eight cases were converted to thoracotomy due to major bleeding. Postoperative 30-day mortality was zero and there were no re-admissions. All cases had a R0 complete cancer resection on histology.
conclusionsUniportal subxiphoid VATS lobectomy/segmentectomy is a feasible and safe procedure for early-stage lung cancer and benign disease.
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Registered trials
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