ArticleInterdisciplinary cardiovascular and thoracic surgery2025
Initial outcomes with uniportal video-assisted lung resection.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Comparison of perioperative hospital stay, postoperative chest tube retention, pain levels between uniportal and multiportal thoracoscopic lung cancer resection patients.American journal of cancer research · 2026Article
- Uniportal VATS for anatomical lung resection: 15 years of innovation.Frontiers in surgery · 2026Review
- Learning curve and outcomes of young surgeons in uniportal video-assisted thoracoscopic surgery lobectomy using bent-tip thoracoscopic forceps for lung cancer.Journal of thoracic disease · 2025Article
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Authors and funding
5 authors.
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Abstract
objectivesUniportal video-assisted lung resection is increasingly reported, but adoption in North America has been low. This study examines the early experience with the uniportal technique by a surgeon experienced in multiportal thoracoscopic surgery.
methodsOperation was performed using a 4-cm incision crossing the anterior axillary line. Primary objectives were to evaluate short-term outcomes, and secondary objectives included evaluation for learning curve and oncological outcomes for patients with non-small cell lung cancer.
resultsOver a 45-month period, 212 patients underwent uniportal lung resection. Procedures included 128 lobectomies (60.4%), 41 segmentectomies (19.3%), 40 wedge resections (18.9%) and 3 extended resections (1.4%). Conversion was required in 24 patients (12.8%); 17 to multiportal surgery and 7 to thoracotomy. Major adverse events occurred in 13 patients (6.1%) and included 3 deaths (1.4%). Median hospital stay was 3 days, and median chest tube duration was 2 days. When comparing the early and late experience, there was no difference in hospital stay, adverse events, conversion and readmissions. The mean number of lymph nodes and nodal stations dissected were 10.08 and 4.79, respectively. The number of nodal stations dissected improved with experience (P < 0.001).
conclusionsUniportal video-assisted lung resection is safe with good perioperative outcomes. Lymph node dissection improved with experience; otherwise, no significant learning curve was demonstrated when transitioning from a multiport approach.
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