Uniportal video-assisted thoracoscopic surgery: safety, efficacy and learning curve during the first 250 cases in Quebec, Canada

• DOI: 10.21037/acs.2016.03.05
• Publication Date: 2016-04-03T07:31:56Z
• Authors: Gabrielle Drevet; Paula Ugalde Figu...
• Keywords: VATS lobectomy; Thoracotomy; Wedge resection; Video-assisted thoracoscopic surgery; Learning curve

Background: Video-assisted thoracoscopic surgery (VATS) using a single incision (uniportal) may result in better pain control, earlier mobilization and shorter hospital stays. Here, we review the safety efficiency of our initial experience with uniportal VATS evaluate learning curve. Methods: We conducted retrospective prospectively maintained departmental database analyzed patients who had undergone lung anatomic resection separately from underwent other resections. To assess curve, compared first 10 months study period second months. Results: From January 2014 to August 2015, 250 intended VATS, including 180 resections (72%) 70 (28%). Lung was successfully completed 153 (85%), which comprised all segmentectomies (29 patients), 80% (4 5) pneumonectomies 82% (120 146) lobectomies attempted. The majority that required conversion thoracotomy occurred half period. Seventy Wedge were most common these procedures (25 patients, 35.7%). Although 24 (34%) placement additional ports, none thoracotomy. Conclusions: Uniportal safe feasible for both standard complex pulmonary However, when used resections, entails steep