Feasibility and Safety of Uniportal Thoracoscopic Segmentectomy Using a Unidirectional Dissection Approach without Dissecting a Fissure.
Medicina (Kaunas)
; 60(6)2024 Jun 17.
Article
em En
| MEDLINE
| ID: mdl-38929611
ABSTRACT
Background:
Few original articles describe the perioperative outcomes of uniportal thoracoscopic segmentectomy using a unidirectional dissection approach. In this retrospective study, we evaluated the feasibility and safety of this procedure.Methods:
This study included 119 patients who underwent uniportal thoracoscopic segmentectomy in our department between February 2019 and December 2022. The patients were divided into unidirectional (group U, n = 28) and conventional (group C, n = 91) dissection approach groups. While the dominant pulmonary vessels and bronchi were transected at the hilum without dissecting a fissure in the unidirectional (U) group, the dominant pulmonary artery was exposed and divided at a fissure in the conventional (C) group. Patient characteristics and perioperative outcomes were compared between groups U and C.Results:
The proportions of simple and complex segmentectomies were statistically similar between the groups. The operating time was shorter (group U 110 [interqurtile range 90-140] min, group C 135 [interqurtile range 105-166] min, p = 0.012) and there was less blood loss (group U 0 [interqurtile range 0-0] g, group C 0 [interqurtile range 0-50] g, p = 0.003) in group U than in group C. However, there were no significant intergroup differences in other perioperative outcomes.Conclusions:
The unidirectional dissection approach in uniportal thoracoscopic pulmonary segmentectomy is safe and feasible and enables a smoother operation.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pneumonectomia
/
Estudos de Viabilidade
/
Cirurgia Torácica Vídeoassistida
/
Neoplasias Pulmonares
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article