Dataset Information

Single- versus two-port video-assisted thoracic surgery in mediastinal tumor: a propensity-matched study.

ABSTRACT: Background:In this retrospective study, we aimed to compare single-port (SP) and two-port (TP) video-assisted thoracic surgery (VATS) for the surgical resection of mediastinal tumor. Methods:Between December 2015 and October 2018, a total of 191 consecutive mediastinal tumor patients who underwent SP- or TP-VATS in the First Affiliated Hospital of Guangzhou Medical University were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to compare the perioperative outcomes and analyse the safety and efficacy between SP-VATS and TP-VATS for mediastinal tumor. Results:There were 43 patients in the SP-VATS group, and 148 patients in the TP-VATS group from December 2015 to October 2018. Propensity matching produced 40 pairs in this retrospective study. The baseline characters were all well balanced. During the operation, the SP-VATS group showed shorter operation time (89.38 vs. 101.82 min; P=0.042) and less chest tube [16 (40.0%) vs. 28 (70.0%); P=0.007] than TP-VATS group. Postoperatively, SP and TP groups showed similar results in terms of morbidity and recovery. Conclusions:In this retrospective study, our experiences have shown that SP-VATS is a safe and promising technique and is not inferior to the TP-VATS.

SUBMITTER: Wu S

PROVIDER: S-EPMC6940232 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Single- versus two-port video-assisted thoracic surgery in mediastinal tumor: a propensity-matched study.

Wu Shilong S Liang Hengrui H Liang Wenhua W Zhang Yaoliang Y Ma Yanzhi Y Liu Hui H Yang Hanyu H Liu Jun J He Jianxing J

Journal of thoracic disease 20191101 11

<h4>Background</h4>In this retrospective study, we aimed to compare single-port (SP) and two-port (TP) video-assisted thoracic surgery (VATS) for the surgical resection of mediastinal tumor.<h4>Methods</h4>Between December 2015 and October 2018, a total of 191 consecutive mediastinal tumor patients who underwent SP- or TP-VATS in the First Affiliated Hospital of Guangzhou Medical University were enrolled. Propensity-matched analysis, incorporating preoperative clinical features, was used to comp ...[more]

PMID: 31903230

Similar Datasets

Project description:ObjectivesThere are many recent and minimally invasive surgical innovations, yet there has been little evaluation of the limitations of such techniques, particularly those related to video-assisted thoracoscopic surgery. The aims of this study were to determine the usefulness and limitations of video-assisted thoracoscopic surgery using one-port access and needle scope and to evaluate the feasibility of this procedure based on our institutional experience.MethodsThis retrospective study involved 127 patients who underwent video-assisted thoracoscopic surgery using the one-window and puncture method at our institute from 1997 to 2011. One hundred patients underwent surgical treatment and 27 underwent diagnostic procedures. If there was one lesion present with only mild adhesion that did not require lymph node dissection, we decided to opt for the one-direction approach that provisionally indicates the one-window and puncture method. We compared the conversion and success groups for factors like age, sex, laterality of surgery, objective of surgery, target organ and surgery location.ResultsOf 127 cases, 115 (91%) successfully underwent the one-window and puncture procedure. Twelve cases (9%) were converted to the two-window method or thoracotomy. Compared with those targeting the lung, patients with mediastinal lesions demonstrated a higher tendency for conversion (P<0.05). However, age (P=0.89), sex (P=0.46), laterality of surgery (P=0.34) and purpose of surgery (P=0.68) did not show any significant differences between the groups.ConclusionsFor lung and mediastinal diseases, video-assisted thoracoscopic surgery with the one-window and puncture method can be performed at any location (upper, middle and lower lobe of lung and anterior, middle and posterior of the mediastinum) under limited indications that include the possibility of one-way resection, mild adhesion and no requirement of lymph node dissection. Under provisional criteria, the procedure may be feasible.

Dataset Information

Single- versus two-port video-assisted thoracic surgery in mediastinal tumor: a propensity-matched study.

Publications

Single- versus two-port video-assisted thoracic surgery in mediastinal tumor: a propensity-matched study.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets