Fujita Medical Journal
Online ISSN : 2189-7255
Print ISSN : 2189-7247
ISSN-L : 2189-7247

This article has now been updated. Please use the final version.

Uniportal video-assisted thoracic surgery lowers the incidence of post-thoracotomy pain syndrome
Hiromitsu NaganoTakashi SudaHisato IshizawaTakahiro NegiHiroshi KawaiToru KawakamiDaisuke TochiiSachiko TochiiYasushi Hoshikawa
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 2019-008

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Abstract

Objective: We compared post-thoracotomy pain syndrome (PTPS) incidence in patients who underwent uniportal or multiportal video-assisted thoracoscopic surgery (VATS).

Methods: We included 223 patients who underwent either uniportal or multiportal VATS between January 2017 and October 2018 (pulmonary lobectomies and pulmonary segmentectomies—uniportal: n=19, multiportal: n=133; wedge lung resections—uniportal: n=16, multiportal: n=55). We retrospectively studied incidences of PTPS in all subgroups.

Results: Incidences of PTPS were significantly less for uniportal procedures for both the pulmonary lobectomy/segmentectomy group (P=0.024) and the wedge lung resection group (P=0.0315) than for multiportal procedures.

Conclusion: Patients who underwent uniportal VATS procedures had lower incidences of PTPS than the multiportal VATS group. The uniportal VATS approach is therefore beneficial for patients.

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This is an Open access article distributed under the Terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
http://creativecommons.org/licenses/by/4.0/
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