Uniportal video assisted thoracoscopic lobectomy: going directly from open surgery to a single port approach.
Uniportal video-assisted thoracoscopy (VATS) has gaining a special place in the thoracic surgery scenario; nowadays even major pulmonary resections can be performed through this approach. We hereby review our initial experience with uniportal VAT lobectomy, performed passing directly from the open approach to a single port approach. We attempted 26 lobectomies through VATS with a single incision of about 5 cm and 22 of them were completed: eight left lower lobectomies, six right upper lobectomies, five left upper lobectomies and three right lower lobectomies. At pathological staging all but four patients were stage I; three patients were T2N1M0 and one had a micrometastasis in a lymph node of station 7 (T1N2M0-Stage IIIA) and they all underwent adjuvant chemotherapy. No perioperative mortality was observed. One patient had a myocardial infarction in the first postoperative day requiring placement of four stents and another one required thoracentesis after drainage removal. The mean time for drainage removal was 3 days and the length of hospitalization was 4.2±1.1. Pain as measured by the visual analogical scale (VAS) scale was graded as 4.9, 2.6 and 0.5 during the first postoperative day, at discharge and after 1 month respectively.
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Marco
M
Anile
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Daniele
D
Diso
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Sara
S
Mantovani
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Miriam
M
Patella
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Emanule
E
Russo
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Carolina
C
Carillo
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Ylenia
Y
Pecoraro
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Ilaria
I
Onorati
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Tiziano
T
De Giacomo
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Erino A
EA
Rendina
1 Department of Thoracic Surgery, University of Rome Sapienza, Rome, Italy ; 2 University of Rome Sapienza, Fondazione Eleonora Lorillard Spencer Cenci, Rome, Italy.
Federico
F
Venuta
Uniportal thoracoscopy; lung cancer; lung resection; pulmonary lobectomy; single port thoracoscopy; video-assisted thoracoscopy (VATS)