Uniportal versus multiportal video-assisted thoracoscopic surgery in the treatment of lung cancer: a Canadian single-centre retrospective study

Conclusion: Adoption of uniportal VATS appears to be feasible and safe, without compromising oncologic principles or increasing intraoperative resource utilization. Larger, prospective studies can help confirm these findings. PMID: 31782644 [PubMed - as supplied by publisher]
Source: Canadian Journal of Surgery - Category: Surgery Authors: Tags: Can J Surg Source Type: research

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ConclusionIn lung cancer patients undergoing thoracotomy, three to five tDCS sessions significantly reduced cumulative postoperative morphine use, maximum VAS pain scores with cough, and pain interference with cough on postoperative day 5, but there was no obvious long-term benefit from tDCS.
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
Minimally invasive surgical approaches are steadily replacing thoracotomy in early lung cancer. Video-assisted thoracoscopic surgery (VATS) is safe and oncologically equivalent to open surgery,1-3 demonstrating less postoperative pain, shorter hospital stay, and decreased blood loss.4-6 However, technical challenges, such as dissection of small yet variable segmental bronchovascular structures and the intersegmental plane, result in a steep learning curve that may hinder the adoption of VATS for segmentectomy.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Commentary Source Type: research
This study aimed to reveal the postoperative recovery of respiratory muscle strength and dyspnea after lobectomy via VATS or posterolateral thoracotomy (PLT) for patients with non-small cell lung cancer (NSCLC) undergoing pulmonary rehabilitation (PR).Methods: We analyzed the data of 43 patients with NSCLC who underwent lobectomy via VATS (n=25) or PLT (n=18). They performed PR from 1 week before to 3 months after lobectomy. FVC, FEV1, 6-minute walk distance (6MD), maximal inspiratory (PImax) and expiratory (PEmax) mouth pressures, and mMRC dyspnea grade were evaluated preoperatively, and at 1 and 3 months after lobectomy ...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Thoracic surgery Source Type: research
Introduction: The modern trend of avoiding pneumonectomy is not always possible due to oncological reasons. The aim of the study is to compare the short-term results for video-assisted thoracoscopic surgery (VATS) and open pneumonectomies for non-small cell lung cancer (NSCLC).Methods: Retrospectively analyzed 39 pneumonectomies performed at one institution by one surgery team for NSCLC from January 2011 to December 2018. There were 19 VATS and 20 open cases.Results: VATS and open groups had no statistically significant differences in age, gender, comorbidity, BMI, FEV1, ejection fraction and clinical stage of NSCLC. The p...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Thoracic surgery Source Type: research
Authors: Hirai K, Usuda J Abstract Background: Post-thoracotomy pain syndrome (PTPS) is difficult for thoracic surgeons to manage. PTPS should never arise after minimally invasive surgery (MIS). Uniportal video-assisted thoracoscopic surgery (U-VATS), a form of MIS for thoracic disease, has become more common around the world and might reduce the risk of PTPS after thoracic surgery. We compared the frequencies of PTPS after U-VATS-based and multi-port VATS (M-VATS)-based lobectomy for lung cancer. Methods: We compared the data for 142 and 70 cases in which U-VATS- and M-VATS-based lobectomies were performed, re...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
We present the case of a 51-year-old man with a history of recurrent lung cancer after left upper lobectomy who presented for an elective completion pneumonectomy via a bilateral anterior thoracotomy incision. At the completion of surgery, bilateral multilevel intercostal infiltration was performed with liposomal bupivacaine. Due to poorly controlled postoperative pain after extubation, a thoracic epidural was placed in the intensive care unit. An opioid-only infusion was started and transitioned to a local anesthetic–based infusion on postoperative day 2. This case report represents a novel stepwise approach of thor...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
Dr Sudish C. Murthy (Cleveland, Ohio). Dr Krebs and colleagues under the supervision of Dr Martin present us with a provocative study. These investigators are attempting to demonstrate that you might be able to overcome the historic sense of bright lights and cold steel that a thoracotomy often imparts during a lung resection. They have carefully and methodically developed an enhanced recovery after surgery type program and implemented that into a variety of patients undergoing lobectomy for lung cancer, and their results of seemingly equivalent LOS, narcotic use, and overall pain scores are surprising, certainly to me.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
This study examined whether LB improves pain after VATS and if it provides effective analgesia after a thoracotomy.
Source: Journal of Surgical Research - Category: Surgery Authors: Tags: Thoracic Source Type: research
This study aimed to compare the feasibility, efficacy and safety among uniport video assisted thoracoscopic surgery (U-VATS), multiport VATS (M-TATS), and open thoracotomy in elderly non-small cell lung cancer (NSCLC) patients at early stage. One hundred ninety-one elderly NSCLC patients at early stage underwent U-VATS (N = 73), M-VATS (N = 56) or open thoracotomy (N = 62) were included. Perioperative parameters, short-term outcomes, postoperative complications, and overall survival (OS) were assessed. Three-group analysis disclosed that operational duration, blood loss, drainage duration, hospital stay, pain...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
BACKGROUND. Obesity and cancer are recognized worldwide health threats. While there is no reported causal relationship, the increasing frequency of both conditions results in a higher incidence of obese patients who are being treated for cancer. Physiological data indicate there is a relationship between obesity and susceptibility to pain; however, currently there are no specific pharmacological interventions. OBJECTIVE. To evaluate the self-reported intensity of postoperative pain in obese and non-obese lung cancer who receive either thoracotomy or VATS surgical therapy. MATERIAL AND METHODS. In 50 obese [mean Body Ma...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
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