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Quality of life after partial lung resection with uniportal versus 3-port video-assisted thoracoscopic surgery: a prospective randomized controlled study

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Abstract

Purpose

The effect of uniportal video-assisted thoracoscopic surgery (uni-VATS) versus that of conventional VATS on postoperative quality of life (QOL) is unclear. This prospective randomized controlled study compared uni-VATS and conventional 3-port VATS in terms of QOL and patient satisfaction.

Methods

The subjects of this study were 84 patients with pulmonary nodules or bullous formation, randomized to undergo uniportal or conventional 3-port video-assisted thoracoscopic partial lung resection. The primary endpoint was postoperative pain, assessed using a numeric rating scale on postoperative day (POD) 1.

Results

No differences were found in the numeric rating scale on POD 1 after uni-VATS and conventional 3-port VATS. There were also no differences in blood loss, operative time, complication rate, surgical margin, analgesic requirement, vital capacity (VC), forced expiratory volume in 1 s (FEV1), the 6-min walk test (6MWT), C-reactive protein (CRP) levels, white blood cell count (WBC), or duration of chest tube drainage and hospital stay. Differences were found in the numeric rating scale on days 2, 3, 5, and 10 and in the patient satisfaction score on PODs 5 and 10.

Conclusions

Uni-VATS is associated with less chest pain and better patient satisfaction in the short term but without differences in complication rates or surgical margins from the lesions.

Clinical trial registry number

University Hospital Medical Information Network Clinical Trial Registry (UMIN000015340 http://www.umin.ac.jp/english/).

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Acknowledgements

We thank the staff of the Clinical Therapeutic Trial Center, Ehime University Hospital, for their advice.

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Authors and Affiliations

  1. Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454 Shitsukawa, Toon City, 791-0295, Japan

    Yoshifumi Sano, Ryujiro Sugimoto, Nobuhiko Sakao, Yu Mori & Hironori Izutani

  2. Department of General Thoracic Surgery and Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama City, Japan

    Mikio Okazaki

  3. Department of Thoracic Surgery, National Hospital Organization Shikoku Cancer Center, Matsuyama City, Japan

    Hisayuki Shigematsu

  4. Division of Clinical Biostatistics, Section of Cancer Prevention and Epidemiology, Clinical Research Center, National Hospital Organization Shikoku Cancer Center, Matsuyama City, Japan

    Natsumi Yamashita

  5. Department of Surgery, National Hospital Organization Ehime Medical Center, Toon City, Japan

    Shungo Yukumi

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  1. Yoshifumi Sano
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  2. Mikio Okazaki
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  3. Hisayuki Shigematsu
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  4. Natsumi Yamashita
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Correspondence to Yoshifumi Sano.

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Sano, Y., Okazaki, M., Shigematsu, H. et al. Quality of life after partial lung resection with uniportal versus 3-port video-assisted thoracoscopic surgery: a prospective randomized controlled study. Surg Today 51, 1755–1763 (2021). https://doi.org/10.1007/s00595-021-02294-6

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