The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy
Abstract Background The uniportal video-assisted thoracoscopic right upper lobectomy (UVATRUL), as a common procedure for thoracic surgeons, is difficult to manipulate and has some inherent challenges. To solve both of problems, we summarized a series of techniques as the three steps method and inve...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-023-02129-0 |
| _version_ | 1797952366086979584 |
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| author | Caiyang Liu Ran Ran Lei Luo Xiaoliang Li Gaohua Liu Hong Shao Ji Li |
| author_facet | Caiyang Liu Ran Ran Lei Luo Xiaoliang Li Gaohua Liu Hong Shao Ji Li |
| author_sort | Caiyang Liu |
| collection | DOAJ |
| description | Abstract Background The uniportal video-assisted thoracoscopic right upper lobectomy (UVATRUL), as a common procedure for thoracic surgeons, is difficult to manipulate and has some inherent challenges. To solve both of problems, we summarized a series of techniques as the three steps method and investigated its feasibility on the patients of right upper lung cancer. Methods Forty-eight patients with right upper lobe lung cancer who underwent the three steps method UVATRUL in our hospital from January 2020 to May 2022 were selected as the three steps method group. Forty-seven patients who underwent the traditional UVATRUL were selected as the traditional method group. The intraoperative condition and postoperative condition of the two groups were retrospectively analysed. Multiple linear regression analysis was carried out to analyze the relationship between positive results and surgical method. Results All patients had successfully completed their surgeries. There was no significant difference between the two groups in respect of intraoperative blood loss, rate of conversion, day one thoracic drainage volume, chest tube indwelling time, incidence of postoperative complications, number of lymph node, and postoperative hospital stay (P > 0.05). Operative time of the three steps method group was significantly shorter than the traditional method group (P < 0.001), and number of reloads used was also significantly less than the traditional method group (P = 0.014). Multiple linear regression analysis showed that operative time (β = − 0.470, P < 0.001), and number of reloads (β = − 0.254, P = 0.007) correlated with surgical method. Conclusion Compared with the traditional UVATRUL, the three steps method trims the surgery procedures, shortens the operative time, and reduces the use of reloads which makes it an effective procedure for UVATRUL. |
| first_indexed | 2024-04-10T22:45:12Z |
| format | Article |
| id | doaj.art-acae81edb01a4668a9df79dbfd171144 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-10T22:45:12Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-acae81edb01a4668a9df79dbfd1711442023-01-15T12:21:12ZengBMCJournal of Cardiothoracic Surgery1749-80902023-01-011811610.1186/s13019-023-02129-0The three steps method for uniportal video-assisted thoracoscopic right upper lobectomyCaiyang Liu0Ran Ran1Lei Luo2Xiaoliang Li3Gaohua Liu4Hong Shao5Ji Li6Department of Cardiothoracic Surgery, The First People’s Hospital of NeijiangBreast Surgery Center of Sichuan Cancer HospitalDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangDepartment of Cardiothoracic Surgery, The First People’s Hospital of NeijiangAbstract Background The uniportal video-assisted thoracoscopic right upper lobectomy (UVATRUL), as a common procedure for thoracic surgeons, is difficult to manipulate and has some inherent challenges. To solve both of problems, we summarized a series of techniques as the three steps method and investigated its feasibility on the patients of right upper lung cancer. Methods Forty-eight patients with right upper lobe lung cancer who underwent the three steps method UVATRUL in our hospital from January 2020 to May 2022 were selected as the three steps method group. Forty-seven patients who underwent the traditional UVATRUL were selected as the traditional method group. The intraoperative condition and postoperative condition of the two groups were retrospectively analysed. Multiple linear regression analysis was carried out to analyze the relationship between positive results and surgical method. Results All patients had successfully completed their surgeries. There was no significant difference between the two groups in respect of intraoperative blood loss, rate of conversion, day one thoracic drainage volume, chest tube indwelling time, incidence of postoperative complications, number of lymph node, and postoperative hospital stay (P > 0.05). Operative time of the three steps method group was significantly shorter than the traditional method group (P < 0.001), and number of reloads used was also significantly less than the traditional method group (P = 0.014). Multiple linear regression analysis showed that operative time (β = − 0.470, P < 0.001), and number of reloads (β = − 0.254, P = 0.007) correlated with surgical method. Conclusion Compared with the traditional UVATRUL, the three steps method trims the surgery procedures, shortens the operative time, and reduces the use of reloads which makes it an effective procedure for UVATRUL.https://doi.org/10.1186/s13019-023-02129-0Lung cancerVideo-assisted thoracoscopyRight upper lobectomy |
| spellingShingle | Caiyang Liu Ran Ran Lei Luo Xiaoliang Li Gaohua Liu Hong Shao Ji Li The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy Journal of Cardiothoracic Surgery Lung cancer Video-assisted thoracoscopy Right upper lobectomy |
| title | The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy |
| title_full | The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy |
| title_fullStr | The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy |
| title_full_unstemmed | The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy |
| title_short | The three steps method for uniportal video-assisted thoracoscopic right upper lobectomy |
| title_sort | three steps method for uniportal video assisted thoracoscopic right upper lobectomy |
| topic | Lung cancer Video-assisted thoracoscopy Right upper lobectomy |
| url | https://doi.org/10.1186/s13019-023-02129-0 |
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