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Modified 2-cm super single port vs. the traditional 3-cm single port for video-assisted thoracoscopic surgery lobectomy

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Abstract

Purposes

We introduce a novel 2-cm single port designed to minimize intercostal muscle and nerve damage in video-assisted thoracoscopic surgery (VATS) lobectomy, and compared it with the 3-cm traditional single port.

Methods

We analyzed, retrospectively, the clinical data, safety, convenience, incision complications, and postoperative pain and numbness in 81 patients who underwent either modified (n = 42) or traditional (n = 39) single-port VATS lobectomy.

Results

The preoperative variables were comparable between both single-port VATS lobectomy groups after matching. There were no serious complications and there was no mortality in either group. There were no remarkable differences between the groups in intraoperative blood loss, chest tube duration, lymph node dissection, or postoperative complications. The modified single-port group had a longer operation time (p < 0.05), but the static and dynamic postoperative VAS scores and incisional numbness were better in the modified single-port group (p < 0.05). The modified single-port group also had an obvious advantage in incision seepage, healing, and appearance.

Conclusions

Our 2-cm modified single port for lobectomy is safe and effective, and results in less postoperative pain and incisional numbness than the 3-cm traditional single port.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Funding

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Author notes

  1. Gaoli Liu and Ping Dong contributed equally to the work.

Authors and Affiliations

  1. Department of Thoracic Surgery, Renmin Hospital of Wuhan University, 238 Jiefang Road, Wuhan, 430060, China

    Gaoli Liu, Ping Dong, Haifeng Hu, Shaowen Zhang & Zhangfan Mao

Authors
  1. Gaoli Liu
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  2. Ping Dong
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  3. Haifeng Hu
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  4. Shaowen Zhang
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  5. Zhangfan Mao
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Corresponding author

Correspondence to Zhangfan Mao.

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Gaoli Liu and the other co-authors have no conflict of interest to declare.

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Liu, G., Dong, P., Hu, H. et al. Modified 2-cm super single port vs. the traditional 3-cm single port for video-assisted thoracoscopic surgery lobectomy. Surg Today 51, 1805–1812 (2021). https://doi.org/10.1007/s00595-021-02290-w

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  • DOI: https://doi.org/10.1007/s00595-021-02290-w

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