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..