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Comparison of single-port, multi-port video-assisted thoracoscopic and open lobectomy for children: a single-center experience

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Abstract

Purpose

The feasibility of single-port video-assisted thoracic surgery (SPVATS) for pediatric lobectomy has not been clearly established. We compared the feasibilities of single-port (SP), multi-port (MP) VATS and open lobectomy (OL) for surgical treatment of children with lung disease.

Methods

In this study, we retrospectively analyzed and compared data for 22,19 and 30 pediatric lung disease patients who had been subjected to SP, MP and OL, respectively. These procedures were performed between March, 2012 and August, 2020 at the Second Affiliated Hospital of Wenzhou Medical University. Perioperative clinical indicators were analyzed.

Results

Compared to OL, SP was associated with lower intraoperative blood loss (p = 0.008), lower postoperative thoracic drainage volume (p = 0.041), shorter chest drainage duration (p = 0.002) and hospital stay (p = 0.001). Operation time (p = 0.437), volume of estimated blood loss (p = 0.979), conversion rate to thoracotomy (p = 0.861), total thoracic drainage volume (p = 0.824), duration of chest tube drainage (p = 0.543), length of hospital stay (p = 0.812) and incidences of postoperative complications were comparable in MP and SP groups.

Conclusion

SPVATS is a safe and feasible approach for lobectomy in pediatrics, with comparable postoperative clinical outcomes to MPVATS and better outcomes relative to OL. However, studies with large sample sizes in multicenter should be performed to verify our findings.

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Acknowledgements

ZL contributed for data collection, data analysis, manuscript preparation, figures, tables and statistics, revision. WW, HG helped with editing of the report. XH, QZ contributed to data interpretation, critical analysis, and discussion. JX was involved in study design, obtaining institution approval, data analysis, manuscript preparation, figures, tables, and statistics. All authors read and approved the final manuscript.

Funding

No funding was used or received.

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Authors and Affiliations

  1. The Department of Cardiovascular and Thoracic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, 325027, People’s Republic of China

    Zhiyong Lin, Weijia Wu, Hanwei Ge & Qifeng Zhao

  2. The Department of Pediatric Cardiovascular and Thoracic Surgery, The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, No. 109 College West Road, Lucheng District, Wenzhou, 325027, People’s Republic of China

    Xingti Hu & Jie Xia

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  1. Zhiyong Lin
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  2. Weijia Wu
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  3. Hanwei Ge
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  4. Xingti Hu
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Correspondence to Jie Xia.

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Lin, Z., Wu, W., Ge, H. et al. Comparison of single-port, multi-port video-assisted thoracoscopic and open lobectomy for children: a single-center experience. Pediatr Surg Int 38, 415–421 (2022). https://doi.org/10.1007/s00383-021-05041-7

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  • DOI: https://doi.org/10.1007/s00383-021-05041-7

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