Evidence map›Paper›PMID 40529755›Full record

ArticleJournal of thoracic disease2025

Safety, efficacy, and postoperative pulmonary function recovery of uniportal and multiportal thoracoscopic lung segmentectomy.

Xinyu Guo, Dajiang Liu, Zhuang Shao, Yongsheng Meng, Bingyang Huang, Xiaoyong Song

Abstract read
In one paragraph

Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xinyu GuoDepartment of Thoracic Surgery, Specialty Medical Center of the People's Liberation Army Strategic Support Force, Beijing, China.
Dajiang LiuDepartment of Thoracic Surgery, Specialty Medical Center of the People's Liberation Army Strategic Support Force, Beijing, China.
Zhuang ShaoDepartment of Thoracic Surgery, Specialty Medical Center of the People's Liberation Army Strategic Support Force, Beijing, China.
Yongsheng MengDepartment of Thoracic Surgery, Specialty Medical Center of the People's Liberation Army Strategic Support Force, Beijing, China.
Bingyang HuangDepartment of Thoracic Surgery, Specialty Medical Center of the People's Liberation Army Strategic Support Force, Beijing, China.
Xiaoyong SongDepartment of Thoracic Surgery, Specialty Medical Center of the People's Liberation Army Strategic Support Force, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lung diseases often require surgical intervention for effective management, and with the evolution of thoracoscopic techniques, minimally invasive options like single-port video-assisted thoracoscopic surgery (VATS) have gained prominence over traditional open surgery due to their reduced invasiveness and improved outcomes. Despite its promising benefits, single-port VATS still encounters challenges that demand further investigation to optimize its clinical application. Therefore, this study aimed to compare the safety, efficacy, and postoperative lung function recovery between single-port and multiport thoracoscopic lung segmentectomy. Methods: Clinical data of a total of 105 patients with lung diseases admitted to our hospital (January 2021 to December 2022) were retrospectively analyzed. Based on different surgical approaches, patients were divided into single-port (single-port thoracoscopic lung segmentectomy, n=82) and the multiport (multiport thoracoscopic lung segmentectomy, n=23) groups. Surgical time, intraoperative blood loss, conversion to open surgery rate, length of hospital stays, hospitalization costs, complication and reoperation rates, Visual Analog Scale (VAS) scores, forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), FEV1/FVC ratio, and carbon monoxide diffusion capacity (DLCO) were compared between the two groups. Results: There were no significant differences in surgical time, conversion to open surgery rate, and reoperation rates between the two groups (P>0.05). The single-port group exhibited lower intraoperative blood loss than the multiport group (P<0.05). The length of hospital stays, hospitalization costs, short-term and long-term complication rates were lower in the single-port group compared to the multiport group (P<0.05). Preoperative VAS scores did not differ significantly between the groups (P>0.05), but the VAS scores at 1 and 3 days postoperatively were lower in the single-port group than in the multiport group (P<0.05). Preoperative FVC, FEV1, FEV1/FVC ratio, and DLCO did not significantly differ between the groups (P>0.05); however, at 1 and 3 months postoperatively, FVC, FEV1, FEV1/FVC ratio, and DLCO were superior in the single-port group compared to the multiport group (P<0.05). Conclusions: In comparison with multiport VATS, single-port VATS demonstrates higher efficacy and safety and promotes better postoperative lung function recovery, and reduces postoperative pain, surgical time, incision length, intraoperative bleeding, length of hospital stay, and hospitalization costs.

Indexed as

complicationslung functionmultiport thoracoscopic lung segmentectomySingle-port thoracoscopic lung segmentectomy

Identifiers

PMID40529755
PMCPMC12170026

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.