Export priority technique for Uni-portal thoracoscopic left upper lobectomy

TL;DR

This study explores a new surgical technique for a specific type of lung surgery, showing it is safe and effective.

Contribution

The study introduces and validates the Export priority technique for uni-portal thoracoscopic left upper lobectomy.

Findings

The average surgical time was 98.93 minutes with minimal blood loss.

No major postoperative complications were observed in patients.

The technique allowed for effective lymph node dissection and short hospital stays.

Abstract

Further explore the safety and feasibility of Uni-portal video assisted thoracoscopic (UVATS) left upper lobectomy by optimizing the treatment of incisions and blood vessels.

We conducted a retrospective analysis of data from 32 patients who underwent UVATS left upper lobectomy and systematic mediastinal lymph node dissection utilizing the Export priority technique between January 2021 and December 2022. We documented perioperative indicators, including surgical time, intraoperative blood loss, the number of lymph nodes dissected, and postoperative pathological staging.

All surgeries were conducted utilizing the Export priority technique in UVATS. The mean surgical duration was (98.93 ± 14.98) minutes, with an average intraoperative blood loss of (79.53 ± 37.96) ml. The mean count of dissected lymph nodes was (13.96 ± 2.69). The length of hospital Stay averaged (5.62 ± 1.81) days. On the first postoperative day, the thoracic drainage volume was (101.87 ± 49.46) ml. The mean duration of postoperative thoracic tube insertion was (3.1 ± 1.84) days. No occurrences of postoperative hoarseness, pulmonary infection, or complications such as bronchopleural fistula were observed.

The application of the Export priority technique improves the safety and feasibility of UVATS left upper lobectomy.

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