ArticleJournal of thoracic disease2025
Single-port compared to multi-port video-assisted thoracoscopic esophagectomy: a propensity-matched study.
Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
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Who cites it
4 citing papers in PubMed.
- Case Series: Single-port subxiphoid robotic excision of ectopic mediastinal parathyroid adenomas.Frontiers in surgery · 2026Article
- Single-incision versus multi-incision minimally invasive esophagectomy with different reconstruction routes for esophageal cancer: a retrospective propensity-weighted analysis.Journal of thoracic disease · 2025Article
- Advances in Minimally Invasive Esophagectomy-An Overview of Recent Developments and a Novel Classification of Innovations in Treatment of Thoracic Esophageal Cancer.Medicina (Kaunas, Lithuania) · 2025Review
- Long-Term Results of Single- and Multi-Incision Minimally Invasive Esophagectomy for Esophageal Cancer: Experience of 348 Cases.Biomedicines · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The advent of minimally invasive techniques, such as video-assisted thoracoscopic surgery (VATS), has revolutionized esophageal cancer surgery by reducing surgical trauma, accelerating recovery, and improving postoperative quality of life. Multi-port VATS has emerged as a widely adopted approach, offering technical feasibility and oncological efficacy. However, recent advancements in minimally invasive surgery (MIS) have introduced single-port VATS, which further minimizes incisions and may enhance cosmetic outcomes, reduce postoperative pain, and shorten hospital stays. This study aimed to compare the perioperative indices between single-port VATS and multi-port VATS for esophageal cancer. Methods: The clinical data of 443 patients undergoing minimally invasive three-field radical esophagectomy for esophageal cancer from 2018 to 2022 were retrospectively analyzed. Patients were divided into a single-port (n=224) and multi-port group (n=219), and perioperative indices including aesthetics, incision pain, hospitalization time, etc., in the two groups were analyzed and compared. Results: The total surgical time of the single-port group was significantly lower than that of the multi-port group (P<0.001), but there were no differences in thoracoscopic operation time (P=0.17), number of thoracic lymph nodes dissected (P=0.10), and number of lymph node sorting groups (P=0.51) between the two groups. The postoperative drainage volume (P<0.001) and drainage time (P=0.002) in the single-port group were lower compared with those in the multi-port group. Compared to the multi-port group, the single-port group had a significantly lower postoperative pain grade (P<0.001) and a significantly higher incision aesthetic score (P<0.001). There was no significant difference in the incidence of postoperative complications between the two groups (P=0.93). The hospitalization time of patients in the single-port group was significantly shorter than that in the multi-port group (P<0.001). Conclusions: Single-port video-assisted thoracoscopic esophagectomy demonstrated superior incision aesthetics, reduced pain, and a shorter average hospitalization time.
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