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General Thoracic and Cardiovascular Surgery

Erschienen in:

15.10.2019 | Special Edition

Uniportal VATS for non-small cell lung cancer

verfasst von: Luciano Bulgarelli Maqueda, Alejandro García-Pérez, Anna Minasyan, Diego Gonzalez-Rivas

Erschienen in: General Thoracic and Cardiovascular Surgery | Ausgabe 7/2020

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Abstract

The video-assisted thoracic surgery (VATS) technique has evolved from its multiport origins to even less invasive approaches grounded in its proven benefits over open surgery for the treatment of early stage lung cancer. In this evolution process, the Uniportal VATS (UniVATS) strategy emerged. This technique is giving some evidence of benefits when compared to the multiport VATS and has been embraced by the surgical community spreading its geographical and surgical boundaries. Moreover, UniVATS has proven its feasibility for numerous and more complex procedures for lung cancer diagnosis and treatment, which are reviewed in this document as well as its current and future development.

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Shigemura N, Akashi A, Funaki S, Nakagiri T, Inoue M, Sawabata N, Shiono H, Minami M, Takeuchi Y, Okumura M, Sawa Y. Long-term outcomes after a variety of video-assisted thoracoscopic lobectomy approaches for clinical stage IA lung cancer: a multi-institutional study. J Thorac Cardiovasc Surg. 2006;132:507–12.PubMed

Yan TD, Black D, Bannon PG, McCaughan BC. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol. 2009;27:2553–62.PubMed

Kaseda S, Aoki T, Hangai N, Shimizu K. Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy. Ann Thorac Surg. 2000;70:1644–6.PubMed

Bertolaccini L, Batirel H, Brunelli A, Gonzalez-Rivas D, Ismail M, Ucar AM, et al. Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg. 2019. https://doi.org/10.1093/ejcts/ezz133.CrossRefPubMedPubMedCentral

Onaitis MW, Petersen RP, Balderson SS, Toloza E, Burfeind WR, Harpole DH Jr, et al. Thoracoscopic lobectomy is a safe and versatile procedure: experience with 500 consecutive patients. Ann Surg. 2006;244:420–5.PubMedPubMedCentral

Yang X, Wang S, Qu J. Video-assisted thoracic surgery (VATS) compares favorably with thoracotomy for the treatment of lung cancer: a five-year outcome comparison. World J Surg. 2009;33:1857–61.PubMed

Denlinger CE, Fernandez F, Meyers BF, et al. Lymph node evaluation in video-assisted thoracoscopic lobectomy versus lobectomy by thoracotomy. Ann Thorac Surg. 2010;89:1730–6.PubMed

Watanabe A, Koyanagi T, Ohsawa H, et al. Systematic node dissection by VATS is not inferior to that through an open thoracotomy: a comparative clinicopathologic retrospective study. Surgery. 2005;138:510–7.PubMed

Rueth NM, Andrade RS. Is VATS lobectomy better: perioperatively, biologically and oncologically? Ann Thorac Surg. 2010;89:S2107–11.PubMed

10.

Yang CJ, Kumar A, Klapper JA, et al. A national analysis of long-term survival following thoracoscopic versus open lobectomy for stage I non-small-cell lung cancer. Ann Surg. 2019;269:163–71.PubMed

11.

Al-Ameri M, Bergman P, Franco-Cereceda A, et al. Video-assisted thoracoscopic versus open thoracotomy lobectomy: a Swedish nationwide cohort study. J Thorac Dis. 2018;10:3499–506.PubMedPubMedCentral

12.

Howington JA, Blum MG, Chang AC, Balekian AA, Murthy SC. Treatment of stage I and II non-small cell lung cancer: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2013;143:e278S–313S.PubMed

13.

Yang CJ, Kumar A, Deng JZ, et al. A national analysis of short-term outcomes and long-term survival following thoracoscopic versus open lobectomy for clinical stage II non-small-cell lung cancer. Ann Surg 2019. https://doi.org/10.1097/SLA.0000000000003231

14.

Lee DY, Yoon YH, Shin HK, Kim HK, Hong YJ. Needle thoracic sympathectomy for essential hyperhidrosis (intermediate-term follow-up). Ann Thorac Surg. 2000;69:251–3.PubMed

15.

Jutley RS, Khalil MW, Rocco G. Uniportal vs standard three-port VATS technique for spontaneous pneumothorax: comparison of post-operative pain and residual paraesthesia. Eur J Cardiothorac Surg. 2005;28:43–6.PubMed

16.

Gonzalez D, Paradela M, Garcia J, de la Torre M. Single-port video-assisted thoracoscopic lobectomy. Interact Cardiovasc Thorac Surg. 2011;12:514–5.PubMed

17.

Hirai K, Takeuchi S, Usuda J. Single-incision thoracoscopic surgery and conventional video-assisted thoracoscopic surgery: a retrospective comparative study of perioperative clinical outcomes. Eur J Cardiothorac Surg. 2016;49:i37–41.PubMed

18.

Zhu Y, Liang M, Wu W, Zheng J, Zheng W, Guo Z, Zheng B, Xu G, Chen C. Preliminary results of single-port versus triple-port complete thoracoscopic lobectomy for non-small cell lung cancer. Ann Translat Med. 2015;3(7):92. https://doi.org/10.3978/j.issn.2305-5839.2015.03.47.CrossRef

19.

Bourdages-Pageau E, Vieira A, Lacasse Y, Figueroa PU. Outcomes of uniportal vs multiportal video-assisted thoracoscopic lobectomy. Semin Thorac Cardiovasc Surg. 2019. https://doi.org/10.1053/j.semtcvs.2019.05.021.CrossRefPubMed

20.

Harris CG, James RS, Tian DH, Yan TD, Doyle MP, Gonzalez-Rivas D, Cao C. Systematic review and meta-analysis of uniportal versus multiportal video-assisted thoracoscopic lobectomy for lung cancer. Ann Cardiothorac Surg. 2016;5(2):76–84. https://doi.org/10.21037/acs.2016.03.17.CrossRefPubMedPubMedCentral

21.

Sihoe AD. Reasons not to perform uniportal VATS lobectomy. J Thorac Dis. 2016;8(Suppl 3):S333–43. https://doi.org/10.3978/j.issn.2072-1439.2016.02.41.CrossRefPubMedPubMedCentral

22.

Jensen K, Bjerrum F, Hansen HJ, Petersen RH, Pedersen JH, Konge L. A new possibility in thoracoscopic virtual reality simulation training: development and testing of a novel virtual reality simulator for video-assisted thoraco-scopic surgery lobectomy. Interact CardioVasc Thorac Surg. 2015;21:420–6.PubMed

23.

Sandri A, Filosso PL, Lausi PO, Ruffini E, Oliaro A. VATS lobectomy program: the trainee perspective. J Thorac Dis. 2016;8:S427–30.PubMedPubMedCentral

24.

Lüchtenborg M, Riaz SP, Coupland VH, Lim E, Jakobsen E, Krasnik M, et al. High procedure volume is strongly associated with improved survival after lung cancer surgery. J Clin Oncol. 2013;31:3141–6.PubMed

25.

Sihoe ADL, Han B, Yang TY, Pan C, Jiang G, Fang VWT. The advent of ultra-high volume thoracic surgical centers in Shanghai. World J Surg. 2017;41:2758–68.PubMed

26.

Sihoe ADL, Gonzalez-Rivas D, Yang TY, Zhu Y, Jiang G. High-volume intensive training course: a new paradigm for video-assisted thoracoscopic surgery education. Interact CardioVasc Thorac Surg. 2018. https://doi.org/10.1093/icvts/ivy038.CrossRefPubMed

27.

Gonzalez-Rivas D. Unisurgeon’ uniportal video-assisted thoracoscopic surgery. J Vis Surg. 2017;3:163. https://doi.org/10.21037/jovs.2017.10.07.CrossRefPubMedPubMedCentral

28.

Drevet G, Ugalde Figueroa P. Uniportal video-assisted thoracoscopic surgery: safety, efficacy and learning curve during the first 250 cases in quebec, canada. Ann Cardiothorac Surg. 2016;5(2):100–6.PubMedPubMedCentral

29.

Rocco G. History and indications of uniportal pulmonary wedge resections. J Thorac Dis. 2013;5(Suppl 3):S212–3.PubMedPubMedCentral

30.

Sepesi B, Walsh GL. Surgical therapy of ground-glass opacities. Semin Diagn Pathol. 2014;31:289–92.PubMed

31.

Team NLSTR. The national lung screening trial: overview and study design 1. Radiology. 2011;258(1):243–53.

32.

Bao F, Ye P, Yang Y, et al. Segmentectomy or lobectomy for early stage lung cancer: a meta-analysis. Eur J Cardiothorac Surg. 2014;46:1–7.PubMed

33.

Zhang L, Li M, Yin R, Zhang Q, Xu L. Comparison of the oncologic outcomes of anatomic segmentectomy and lobectomy for early stage non-small cell lung cancer. Ann Thorac Surg. 2015;99:728–37.PubMed

34.

D’Andrilli A, Venuta F, Rendina EA. The role of lymphadenectomy in lung cancer surgery. Thorac Surg Clin. 2012;22:227–37.PubMed

35.

Linden D, Linden K, Oparka J. In patients with resectable non-small-cell lung cancer, is video-assisted thoracoscopic segmentectomy a suitable alternative to thoracotomy and segmentectomy in terms of morbidity and equivalence of resection? Interact Cardiovasc Thorac Surg. 2014;19:107–10.PubMed

36.

Xie D, Wang H, Fei K, et al. Single-port video-assisted thoracic surgery in 1063 cases: a single-institution experience. Eur J Cardiothorac Surg. 2016;49(Suppl 1):i31–6.PubMed

37.

Shih CS, Liu CC, Liu ZY, et al. Comparing the postoperative outcomes of video-assisted thoracoscopic surgery (VATS) segmentectomy using a multi-port technique versus a single-port technique for primary lung cancer. J Thorac Dis. 2016;8(Suppl 3):S287–94.PubMedPubMedCentral

38.

Xie D, Soultanis KM, Hu X, Zhu Y. Uniportal video-assisted thoracoscopic segmentectomy. In: Gonzalez-Rivas D, Ng C, Rocco G, D’Amico T, editors. Atlas of uniportal video assisted thoracic surgery. Singapore: Springer; 2019.

39.

Ng CSH, MacDonald JK, Gilbert S, Khan AZ, Kim YT, Louie BE, Fernando HC. Optimal approach to lobectomy for non-small cell lung cancer: systemic review and meta-analysis. Innovations. 2019;14(2):90–116. https://doi.org/10.1177/1556984519837027.CrossRefPubMed

40.

Gonzalez-Rivas D, Sihoe A. Important technical details during Uniportal video-assisted thoracoscopic major resections. Thorac Surg Clin. 2017;27:357–72.PubMed

41.

Fieira Costa E, Delgado Roel M, Paradela de la Morena M, Gonzalez-Rivas D, Fernandez-Prado R, de la Torre M. Technique of uniportal VATS major pulmonary resections. J Thorac Dis. 2014;6(Suppl 6):S660–4.PubMedPubMedCentral

42.

Mu JW, Gao SG, Xue Q, et al. A matched comparison study of uniportal versus triportal thoracoscopic lobectomy and sublobectomy for early-stage nonsmall cell lung cancer. Chin Med J (Engl). 2015;128:2731–5.

43.

Liu CC, Shih CS, Pennarun N, et al. Transition from a multiport technique to a single-port technique for lung cancer surgery: is lymph node dissection inferior using the single-port technique? Eur J Cardiothorac Surg. 2016;49(Suppl 1):i64–72.PubMed

44.

Gonzalez-Rivas D, Paradela M, Fernandez R, Delgado M, Fieira E, Mendez L, Velasco C, De la Torre M. Uniportal video-assisted thoracoscopic lobectomy: two years of experience. Ann Thorac Surg. 2013;95:426–32.PubMed

45.

Delgado Roel M, et al. Uniportal lymphadenectomy. In: Gonzalez-Rivas D, Ng C, Rocco G, D’Amico T, editors. Atlas of uniportal video assisted thoracic surgery. Singapore: Springer; 2019.

46.

Gonzalez-Rivas D, Delgado M, Fieira E, Mendez L, Fernandez R, De la Torre M. Uniportal video-assisted thoracoscopic pneumonectomy. J Thorac Dis. 2013;5(S3):S246–52.PubMedPubMedCentral

47.

Lau KKW, Ng CSH, Wan IYP, Wong RHL, Yeung ECL, Kwok MWT, Lau RWH, Wan S, Yim APC, Underwood MJ. VATS pneumonectomy is safe and may have benefits over open pneumonectomy. Interact Cardiovasc Thorac Surg. 2013;17(Suppl 1):S29.

48.

Ng CS, Kim HK, Wong RH, Yim AP, Mok TS, Choi YH. Single-port video-assisted thoracoscopic major lung resections: experience with 150 consecutive cases. Thorac Cardiovasc Surg. 2016;64(4):348–53. https://doi.org/10.1055/s-0034-1396789.CrossRefPubMed

49.

Battoo A, Jahan A, Yang Z, Nwogu CE, Yendumari SS, Dexter EU, et al. Thoracoscopic pneumonectomy: an 11-year experience. Chest. 2014;146(5):1300–9.PubMed

50.

de la Torre M, Fieira EM, Paradela M. Right pneumonectomy. In: Gonzalez-Rivas D, Ng C, Rocco G, D’Amico T, editors. Atlas of uniportal video assisted thoracic surgery. Singapore: Springer; 2019.

51.

Maurizi G, D’Andrilli A, Anile M, Ciccone AM, Ibrahim M, Venuta F, et al. Sleeve lobectomy compared with pneumonectomy after induction therapy for non-small-cell lung cancer. J Thorac Oncol. 2013;8:637–43.PubMed

52.

De Leyn P, Rots W, Deneffe G, Nafteux P, Coosemans W, Van Raemdonck D, et al. Sleeve lobectomy for non-small cell lung cancer. Acta Chir Belg. 2003;103:570–6.PubMed

53.

Krüger M, Uschinsky K, Hässler K, Engelmann C. Postoperative complications after bronchoplastic procedures in the treatment of bronchial malignancies. Eur J Cardiothorac Surg. 1998;14:46–52.PubMed

54.

Soultanis Konstantinos Marios, Chao Ma Chen, Chen Jian, Liang Wu, Yang Chenlu, Gonzalez-Rivas Diego, Akar Firas Abu, Jiang Gening, Jiang Lei. Technique and outcomes of 79 consecutive uniportal video-assisted sleeve lobectomies. Eur J Cardiothorac Surg. 2019. https://doi.org/10.1093/ejcts/ezz162.CrossRefPubMed

55.

Gonzalez-Rivas D, Lei J, Sekhniaidze D. Uniportal video-assisted thoracoscopic sleeve resections. In: Gonzalez-Rivas D, Ng C, Rocco G, D’Amico T, editors. Atlas of uniportal video assisted thoracic surgery. Singapore: Springer; 2019.

56.

Gonzalez-Rivas D, Yang Y, Stupnik T, Sekhniaidze D, Fernandez R, Velasco C, Zhu Y, Jiang G. Uniportal video-assisted thoracoscopic bronchovascular, tracheal and carinal sleeve resections. Eur J Cardiothorac Surg. 2016;49(suppl_1):i6–16. https://doi.org/10.1093/ejcts/ezv410.CrossRefPubMed

57.

Lyscov A, Obukhova T, Ryabova V, Sekhniaidze D, Zuiev V, Gonzalez-Rivas D. Double-sleeve and carinal resections using the uniportal VATS technique: a single centre experience. J Thorac Dis. 2016;8(Suppl 3):S235–41. https://doi.org/10.3978/j.issn.2072-1439.2016.02.25.CrossRefPubMedPubMedCentral

58.

Peng G, Wang W, Guo M, Pan H, He J. Tracheal and carina resection/reconstruction. In: Gonzalez-Rivas D, Ng C, Rocco G, D’Amico T, editors. Atlas of uniportal video assisted thoracic surgery. Singapore: Springer; 2019.

59.

Zieliński M. Technique of transcervical-subxiphoid-VATS “maximal” thymectomy in treatment of myasthenia gravis. Przegl Lek. 2000;57(5):64–5.PubMed

60.

Liu CC, Wang BY, Shih CS. Ubxiphoid single-incision thoracoscopic left upper lobectomy. J Thorac Cardiovasc Surg. 2014;148:3250–1.PubMed

61.

Song N, Zhao DP, Jiang L, et al. Subxiphoid uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy: a report of 105 cases. J Thorac Dis. 2016;8(Suppl 3):S251–7. https://doi.org/10.3978/j.issn.2072-1439.2016.02.32.CrossRefPubMedPubMedCentral

62.

Cai Haomin, Xie Dong, Sawalhi Samer Al, Jiang Lei, Zhu Yuming, Jiang Gening, Zhao Deping. Subxiphoid versus intercostal uniportal video-assisted thoracoscopic surgery for bilateral lung resections: a single-institution experience. Eur J Cardiothorac Surg. 2019. https://doi.org/10.1093/ejcts/ezz206.CrossRef

63.

Ali J, Haiyang F, Aresu G, Chenlu Y, Gening J, Gonzalez-Rivas D, Lei J. Uniportal subxiphoid video-assisted thoracoscopic anatomical segmentectomy: technique and results. Ann Thorac Surg. 2018;106(5):1519–24.PubMed

64.

Gonzalez-Rivas D, Ismail M. Subxiphoid or subcostal uniportal robotic-assisted surgery: early experimental experience. J Thorac Dis. 2019;11(1):231–9. https://doi.org/10.21037/jtd.2018.12.94.CrossRefPubMedPubMedCentral

65.

Tang Y, Ou ZA, Liao M, Xuan Y, Su K, Xu EW, Xiao H, Peng X, Zhang Z, Liu Y, Qiao GB. Subcostal thoracoscopic extended thymectomy for patients with myasthenia gravis. J Thorac Dis. 2016;8(3):499–504. https://doi.org/10.21037/jtd.2016.02.77.CrossRefPubMedPubMedCentral

66.

Al Sawalhi S, Zhao D, Cai H, Jin Y. Uniportal subcostal video-assisted thoracoscopic surgery: a feasible approach for a challenging middle lobectomy in an obese patient. Case Rep Pulmonol. 2019;2019:4. https://doi.org/10.1155/2019/5906295(Article ID 5906295).CrossRef

67.

Nezu K, Kushibe K, Tojo T, Takahama M, Kitamura S. thoracoscopic wedge resection of blebs under local anesthesia with sedation for treatment of a spontaneous pneumothorax. Chest. 1997;111(1):230–5. https://doi.org/10.1378/chest.111.1.230.CrossRefPubMed

68.

Pompeo E, Mineo D, Rogliani P, Sabato AF, Mineo TC. Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules. Ann Thorac Surg. 2004;78:1761–8.PubMed

69.

Hausman MS Jr, Jewell ES, Engoren M. Regional versus general anesthesia in surgical patients with chronic obstructive pulmonary disease: does avoiding general anesthesia reduce the risk of postoperative complications? Anesth Analg. 2014;120(6):1405–12.

70.

Slinger P. Principles and practice of anesthesia for thoracic surgery. Toronto: Springer; 2011.

71.

Della Rocca G, Coccia C. Acute lung injury in thoracic surgery. Curr Opin Anaesthesiol. 2013;26(1):40–6.PubMed

72.

Gonzalez-Rivas D, Bonome C, Fieira E, Aymerich H, et al. Non-intubated video-assisted thoracoscopic lung resections: the future of thoracic surgery? Eur J Cardiothorac Surg. 2016;49(3):721–31.PubMed

73.

Mineo TC, Tamburrini A, Perroni G, Ambrogi V. 1000 cases of tubeless video-assisted thoracic surgery at the Rome Tor Vergata University. Future Oncol. 2016;12(23s):13–8. https://doi.org/10.2217/fon-2016-0348.CrossRefPubMed

74.

Mathisen DJ. Tubeless uniportal carinal right upper lobectomy. J Thorac Dis. 2017;9(12):4941. https://doi.org/10.21037/jtd.2017.12.01.CrossRefPubMedPubMedCentral

75.

Li Z, Ng CSH. Future development and technologies. In: Gonzalez-Rivas D, Ng C, Rocco G, D’Amico T, editors. Atlas of uniportal video assisted thoracic surgery. Singapore: Springer; 2019.

Titel: Uniportal VATS for non-small cell lung cancer
verfasst von: Luciano Bulgarelli Maqueda
Alejandro García-Pérez
Anna Minasyan
Diego Gonzalez-Rivas
Publikationsdatum: 15.10.2019
Verlag: Springer Singapore
Erschienen in: General Thoracic and Cardiovascular Surgery / Ausgabe 7/2020
Print ISSN: 1863-6705
Elektronische ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-019-01221-4

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