Article Abstract

Modified procedure of uniportal video-assisted thoracoscopic lobectomy with muscle sparing incision

Authors: Zhengcheng Liu, Rusong Yang, Feng Shao, Yanqing Pan


Background: To describe modified procedure for uniportal video-assisted thoracoscopic surgery (UVATS) lobectomy with a small, total muscle-sparing incision.
Methods: Forty-eight UVATS leucotomy were attempted and successfully completed. A single incision of approximately 3 cm was made in an intercostal space along the anterior axillary line. Muscle-sparing technique was applied with this single-incision approach using muscle sparing technique.
Results: Incision size was kept to a minimum, with a median of 3 cm. Mediastinal lymph node dissection was performed in all patients with malignancy. Overall median operative time was 1.3 hours. Median hospitalization was 13.5 days (range, 6–21 days). Morbidity rate was low at 3%. There were no other postoperative complications, mortality, or re-admissions.
Conclusions: Modified procedure of lobectomy with UVATS might be easy to operate with less surgical time and morbidity rate, muscle sparing technique might reduce post-operation pain.