Comparing immediate postoperative outcomes of different VATS approaches for anatomical lung resection: a single-centre retrospective study.
Can J Surg
; 67(2): E142-E148, 2024.
Article
en En
| MEDLINE
| ID: mdl-38548299
ABSTRACT
BACKGROUND:
Video-assisted thoracic surgery (VATS) can be performed through 1 or more intercostal or subxiphoid ports. The aim of this study was to evaluate whether number and location of ports had an impact on early perioperative outcomes and postoperative pain after anatomical lung resection (ALR).METHODS:
A search of the departmental electronic database identified all patients who underwent VATS ALR between June 2018 and June 2019. We stratified patients according to the surgicalapproach:
2-port VATS, 3-port VATS, and subxiphoid VATS. We extracted demographic and clinicopathologic data. We used univariate analysis with unpaired t tests and χ2 tests to compare these variables between the subgroups.RESULTS:
We included 201 patients in the analysis. When patients were stratified by surgical approach, there was no difference in terms of age, disease load, length of surgery, postoperative complications, duration of pleural drainage, and length of hospital stay. Postoperative pain and morphine equivalent usage were also comparable between the groups. According to these results, number and location of VATS ports seemingly has no clinical impact on early postoperative outcomes. Limitations of the study include its retrospective nature, small sample size, and short follow-up interval.CONCLUSION:
Our results suggest that incision location and the number of VATS ports is not associated with differences in the incidence of perioperative complications or postoperative pain. Given the limitations described above, further studies with longer follow-up intervals are required to explore the lasting impact of this surgical approach on quality of life.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirugía Torácica Asistida por Video
/
Neoplasias Pulmonares
Límite:
Humans
Idioma:
En
Revista:
Can J Surg
Año:
2024
Tipo del documento:
Article
Pais de publicación:
CA
/
CANADA
/
CANADÁ