Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Urology
- Thoracic Surgery
- Obstetrics Surgery
- Cardiovascular Surgery
- Ophthalmic Surgery
- Gastroenterological Surgery
- Colon and Rectal Surgery
- Transplant Surgery
Abstract
Citation: Clin Surg. 2019;4(1):2666.Research Article | Open Access
Single-Port Thoracoscopic Lobectomy or Segmentectomy with Flexible 3D Endoscope Used
Wei-Heng Hung, Ching-Yuan Cheng, Heng-Chung Chen, Chang-Lun Huang, Ching-Hsiung Lin, Sheng-Hao Lin and Bing-Yen Wang
Department of Surgery, Changhua Christian Hospital, Taiwan
Department of Internal Medicine, Changhua Christian Hospital, Taiwan
School of Medicine, Chung Shan Medical University, Taiwan
School of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan
Institute of Genomics and Bioinformatics, National Chung Hsing University, Taiwan
Translational Medicine, National Chung Hsing University, Taiwan
Center for General Education, Ming Dao University, Taiwan
*Correspondance to: Bing-Yen Wang
PDF Full Text DOI: 10.25107/2474-1647.2666
Abstract
Introduction: Uniportal thoracoscopic surgery is a popular issue recently, but it is still not widespread worldwide due to limitations of the surgical technique. In most studies, Uniportal thoracoscopic surgery usually uses a 2D 30º endoscope as a camera. We use a flexible 3D endoscope system as a camera while performing single-port lobectomy or segmentectomy and compare it with double-port 2D and double-port 3D surgery. Methods: The data of consecutive patients diagnosed with lung cancer that underwent 2D or 3D thoracoscopic lobectomy or segmentectomy in Changhua Christian Hospital from December 2015 to May 2018 were retrospectively analyzed. Tumor characteristics, perioperative and postoperative data and postoperative complications were all recorded for every patient. Results: A total of 257 patients were enrolled in this study and were allocated to 3 groups: 1 (85 patients who underwent double-port surgery with a 2D system), 2 (95 patients who underwent double-port surgery with a 3D system) and 3 (77 patients who underwent single-port surgery with a 3D system). The 3 groups revealed similar patient demographics and tumor characteristics. The mean operative time, duration of chest drainage, ICU days and total length of stay were all the shortest in group 3 with significant difference (all p-values <0.05). Conclusion: Single-port thoracoscopic lobectomy or segmentectomy under a 3D endoscopic system is safe and feasible. In our study, it has shorter operative time, duration of chest drainage, ICU days, and total length of stay compared to the other two groups. But its complication rate is similar to the other two groups.
Keywords
3D endoscope; Single-port; Uniportal; Thoracoscopic lobectomy; Thoracoscopic segmentectomy
Cite the article
Hung W-H, Cheng C-Y, Chen H-C, Huang C-L, Lin C-H, Lin S-H, et al. Single-Port Thoracoscopic Lobectomy or Segmentectomy with Flexible 3D Endoscope Used. Clin Surg. 2019; 4: 2666..