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Initial outcomes with uniportal video-assisted lung resection
Journal article   Open access   Peer reviewed

Initial outcomes with uniportal video-assisted lung resection

James Shahoud, Benny Weksler, Brent Williams, Lawrence Crist and Hiran Fernando
Interdisciplinary cardiovascular and thoracic surgery, v 40(5), ivaf111
08 May 2025
DOI: https://doi.org/10.1093/icvts/ivaf111
PMID: 40341960
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/icvts/ivaf111View
Published, Version of Record (VoR)CC BY V4.0,  Open

Abstract

Segmentectomy Surgical Outcomes Lobectomy Uniportal Video-assisted thoracic surgery Lung Cancer
Uniportal 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. Operation 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. Over 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). Uniportal video-assisted lung resection is safe with good peri-operative outcomes. Lymph node dissection improved with experience, otherwise no significant learning curve was demonstrated when transitioning from a multiport approach.

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Web of Science research areas
Cardiac & Cardiovascular Systems
Respiratory System
Surgery
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