Review Articles
Uniport Versus Multiport Video Assisted Thoracoscopic Surgery (VATS): Comparisons and outcomes: A Review Article
Published:
March 1, 2023
Abstract
There are contr oversies regarding the number of ports in video-assisted thoracoscopic surgery (VATS). The aim of this review is to compare the outcomes of multiport VATS and uniport VATS in form of postoperative pain, hospital stay, the volume of blood loss, duration of operation, duration of postoperative drainage and conversion rate. Although lacks a high level of evidence, this short review showed that uniport VATS might be a preferred alternative approach in thoracic surgery. Patients with uniport VATS have shorter hospital stays, less pain, early recovery and sooner removal of the chest tube.
References
- Fahmi H. Kakamad, Razhan K. Ali, Shvan H. Mohammed, Hawar A. Sofi Mohammed, Mohammed Q. Mustafa, Abdulwahid M. Salih, et al. Single port video-assisted thoracoscopic surgery for removal of a retained bullet in the lung parenchyma; A case report with literature review. Annals of Medicine and Surgery. 2021; 71: 102977. doi:10.1016/j.amsu.2021.102977
- Xinyu Yang, Ming Li1, Xiaodong Yang, Mengnan Zhao, Yiwei Huang, Xiyu Dai1, et al. Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1–3N0M0 non-small cell lung cancer: a systematic review and meta-analysis. Journal Thoracic Disease. 2018;10(4):2186-95. doi:10.21037/jtd.2018.03.74
- Natsumi Matsuura, Hitoshi Igai, Fumi Ohsawa, Tomohiro Yazawa, Mitsuhiro Kamiyoshihara. Uniport vs. multiport video-assisted thoracoscopic surgery for anatomical lung resection—which is less invasive. Journal of Thoracic Disease. 2021;13(1):244-51. doi:10.21037/jtd-20-2759
- Ya Fu Cheng, Chang Lun Huang, Wei Heng Hung, Ching Yuan Cheng, Bing Yen Wang. The perioperative outcomes of uniport versus two-port and three-port video-assisted thoracoscopic surgery in lung cancer: a systematic review and meta-analysis. Journal of Cardiothoracic Surgery.2022;17:284. doi:10.1186/s13019-022-02034-y
- Socci L, Jones V, Malik M, Internullo E, Martin-Ucar A. Single-port video-assisted thoracic lung volume reduction surgery for emphysema: reducing surgical trauma does not compromise the procedure. Interact CardioVasc Thorac Surg 2013;17(suppl 1):S1–S62. doi:10.1093/icvts/ivt288.157
- Yaxing Shen, Hao Wang, Mingxiang Feng, Yong Xi, Lijie Tan, Qun Wang. Single- versus multiple-port thoracoscopic lobectomy for lung cancer: a propensity-matched study. European Journal of Cardio-Thoracic Surgery. 2016; 49:48–53. doi:10.1093/ejcts/ezv358
- Bing-Yen Wang, Chao-Yu Liu, Po-Kuei Hsu, Chih-Shiun Shih, Chia-Chuan Liu. Single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy; propensity-matched analysis. Annals of Surgery.2015;261:793–9. doi:10.1097/SLA.0000000000000712
- Kyung Sub Song, Chang Kwon Park, Jae Bum Kim. Efficacy of single-port video-assisted thoracoscopic surgery lobectomy compared with triple-port VATS by propensity score matching. Korean Journal Thoracic Cardiovasc Surgery.2017;50:339-45. doi:10.5090/kjtcs.2017.50.5.339
- Ruixing Zhao, Zhihua Shi, Siqiang Cheng. Uniport video assisted thoracoscopic surgery (U-VATS) exhibits increased feasibility, non-inferior tolerance, and equal efficiency compared with multiport VATS and open thoracotomy in the elderly non-small cell lung cancer patients at early stage. Medicine. 2019; 98:28. doi:10.1097/MD.0000000000016137
Copyright (c) 2023 Barw Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.