Introduction of uniportal VATS access when performing lobectomies
https://doi.org/10.34215/1609-1175-2024-3-39-43
Abstract
Aim. Analysis of surgical indices during monoport thoracoscopic lobectomies in Sakhalin Regional Clinical Oncological Dispensary at different stages of mastering the technique.
Materials and methods. Case histories of 251 patients who underwent radical surgical treatment for lung cancer using monoport thoracoscopic access. Patients were divided into two groups: initial (109 patients) and advanced (142 patients). The average surgical time, number of complications and conversions were assessed.
Results. Mastering the technique leads to a statistically significant reduction in surgical time. The difference in other parameters, such as the number of postoperative complications and the percentage of conversions at different stages, tends to decrease.
Conclusion. Surgical indices improve as the team goes through the learning curve. The technique is adequate and reproducible for surgical treatment of patients with lung cancer.
About the Authors
V. V. Kondratyev
Sakhalin Regional Clinical Oncological Dispensary;
Pacific State Medical University
Russian Federation
Russian Federation
Viktor V. Kondratyev, oncologist at the Department of thoracic oncology; assistant at the department of oncology
3 Gorkogo st., Yuzhno-Sakhalinsk, 693010, Sakhalin region, Russia
V. I. Apanasevich
Pacific State Medical University
Russian Federation
Russian Federation
Vladivostok
S. S. Startsev
Sakhalin Regional Clinical Oncological Dispensary;
Pacific State Medical University
Russian Federation
Russian Federation
Yuzhno-Sakhalinsk
Vladivostok
E. B. Nedelkin
Sakhalin Regional Clinical Oncological Dispensary
Russian Federation
Russian Federation
Yuzhno-Sakhalinsk
I. S. Usoltseva
Sakhalin Regional Clinical Oncological Dispensary;
Pacific State Medical University
Russian Federation
Russian Federation
Yuzhno-Sakhalinsk
Vladivostok
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Review
For citations:
Kondratyev V.V., Apanasevich V.I., Startsev S.S., Nedelkin E.B., Usoltseva I.S. Introduction of uniportal VATS access when performing lobectomies. Pacific Medical Journal. 2024;(3):39-43. (In Russ.) https://doi.org/10.34215/1609-1175-2024-3-39-43
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