title: Lobe-specific unidirectional stapling strategy in video-assisted thoracic surgery lobectomy.
abstract: OBJECTIVE
  To evaluate the feasibility of the lobe-specific unidirectional stapling strategy (LSUS) strategy in video-assisted thoracic surgery (VATS) lobectomy.
  
  
  METHODS
  A retrospective analysis was conducted on 123 patients, who underwent VATS lobectomy using LSUS. The vein, artery, and bronchus of each lobe were stapled through a lobe-specific port. The posteroinferior port, in the eighth intercostal space on the posterior axillary line, was the stapler port in upper or middle lobectomies. The anteroinferior port, in the sixth intercostal space on the anterior axillary line, was used for each lower lobectomy.
  
  
  RESULTS
  VATS lobectomy was completed in 116 (94%) patients and LSUS was successful for every lobectomy in these patients. There were no adverse events related to stapling. Fifteen patients experienced postoperative complications. The operative mortality rate was 1.7%. The mean pain score on the first postoperative day was 3.2 out of 10.
  
  
  CONCLUSIONS
  LSUS is feasible and safe for all type of VATS lobectomy.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. ikpark@snu.ac.kr
authors.forename: In Kyu
authors.initials: IK
authors.lastname: Park
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D061887:Conversion to Open Surgery; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008168:Lung / Q000601:surgery*; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology; D012189:Retrospective Studies; D017792:Surgical Stapling / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D016896:Treatment Outcome