Clinical application and research progress of uniportal video-assisted thoracoscopic anatomic segmentectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

JIA Yuxin , ZHANG Jiahao , CHEN Xueyu , ZHANG Yajie ,  LI Hecheng

Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China;

Corresponding author：

LI Hecheng, Email: lihecheng2000@hotmail.com

Keywords：

Early-stage lung cancer; segmentectomy; uniportal video-assisted thoracoscopic surgery; review

DOI：

10.7507/1007-4848.202203036

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

With the development of precision diagnosis and treatment of lung cancer, anatomical segmentectomy has become an important surgical procedure for the treatment of early-stage lung cancer. After the widespread popularization of video-assisted thoracoscopic surgery (VATS), the treatment of lung cancer has entered the era of minimally invasive surgery. Since it was first reported in 2012, uniportal video-assisted anatomical segmentectomy has gained increasing clinical application. Uniportal VATS is less invasive than thoracotomy and traditional VATS. At present, the main research hotspots around uniportal video-assisted anatomical segmentectomy include specific indications, short-term and long-term efficacy, and learning curve. This article will introduce the characteristics, indications and surgical techniques of this procedure, then summarize and discuss the latest research progress of uniportal video-assisted anatomical segmentectomy based on the latest evidence-based evidence.

Citation： JIA Yuxin, ZHANG Jiahao, CHEN Xueyu, ZHANG Yajie, LI Hecheng. Clinical application and research progress of uniportal video-assisted thoracoscopic anatomic segmentectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(10): 1376-1383. doi: 10.7507/1007-4848.202203036 Copy

1.	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2.	Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
3.	Okada M, Nishio W, Sakamoto T, et al. Effect of tumor size on prognosis in patients with non-small cell lung cancer: The role of segmentectomy as a type of lesser resection. J Thorac Cardiovasc Surg, 2005, 129(1): 87-93.
4.	Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg, 1995, 60(3): 615-622.
5.	Yan TD, Black D, Bannon PG, et al. 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(15): 2553-2562.
6.	Martin-Ucar AE, Nakas A, Pilling JE, et al. A case-matched study of anatomical segmentectomy versus lobectomy for stageⅠlung cancer in high-risk patients. Eur J Cardiothorac Surg, 2005, 27(4): 675-679.
7.	Koike T, Yamato Y, Yoshiya K, et al. Intentional limited pulmonary resection for peripheral T1N0M0 small-sized lung cancer. J Thorac Cardiovasc Surg, 2003, 125(4): 924-928.
8.	Smith CB, Swanson SJ, Mhango G, et al. Survival after segmentectomy and wedge resection in stageⅠnon-small-cell lung cancer. J Thorac Oncol, 2013, 8(1): 73-78.
9.	Saji H, Okada M, Tsuboi M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): A multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet, 2022, 399(10335): 1607-1617.
10.	Watanabe A, Ohori S, Nakashima S, et al. Feasibility of video-assisted thoracoscopic surgery segmentectomy for selected peripheral lung carcinomas. Eur J Cardiothorac Surg, 2009, 35(5): 775-780.
11.	Kagimoto A, Tsutani Y, Mimae T, et al. Segmentectomy versus wedge resection for radiological solid predominant and low metabolic non-small cell lung cancer. Interact Cardiovasc Thorac Surg, 2022, 34(5): 814-821.
12.	Yim AP. VATS major pulmonary resection revisited—Controversies, techniques, and results. Ann Thorac Surg, 2002, 74(2): 615-623.
13.	Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
14.	Han KN, Kim HK, Lee HJ, et al. Single-port video-assisted thoracoscopic pulmonary segmentectomy: A report on 30 cases. Eur J Cardiothorac Surg, 2016, 49 Suppl 1: i42-i47.
15.	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-S294.
16.	NCCN clinical practice guidelines in oncology: Non-small cell lung cancer (2021 version 1). URL: https://www.nccn.org/professionals/physician_gls/. 2020-11-25.
17.	中华医学会肿瘤学分会, 中华医学会杂志社. 中华医学会肿瘤学分会肺癌临床诊疗指南(2021版). 中华肿瘤杂志, 2021, 43(6): 591-621.
18.	Han D, Cao Y, Wu H, et al. Uniportal video-assisted thoracic surgery for the treatment of lung cancer: A consensus report from Chinese Society for Thoracic and Cardiovascular Surgery (CSTCVS) and Chinese Association of Thoracic Surgeons (CATS). Transl Lung Cancer Res, 2020, 9(4): 971-987.
19.	Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
20.	Misaki N, Chang SS, Gotoh M, et al. A novel method for determining adjacent lung segments with infrared thoracoscopy. J Thorac Cardiovasc Surg, 2009, 138(3): 613-618.
21.	陈亮, 葛明建. 肺段切除术中段间平面显示方法的研究进展. 中国肺癌杂志, 2020, 23(9): 818-823.
22.	Tsubota N. An improved method for distinguishing the intersegmental plane of the lung. Surg Today, 2000, 30(10): 963-964.
23.	Oizumi H, Kato H, Endoh M, et al. Slip knot bronchial ligation method for thoracoscopic lung segmentectomy. Ann Thorac Surg, 2014, 97(4): 1456-1458.
24.	Sugimoto S, Oto T, Miyoshi K, et al. A novel technique for identification of the lung intersegmental plane using dye injection into the segmental pulmonary artery. J Thorac Cardiovasc Surg, 2011, 141(5): 1325-1327.
25.	Iwata H, Shirahashi K, Mizuno Y, et al. Surgical technique of lung segmental resection with two intersegmental planes. Interact Cardiovasc Thorac Surg, 2013, 16(4): 423-425.
26.	Sekine Y, Ko E, Oishi H, et al. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg, 2012, 143(6): 1330-1335.
27.	Oh S, Suzuki K, Miyasaka Y, et al. New technique for lung segmentectomy using indocyanine green injection. Ann Thorac Surg, 2013, 95(6): 2188-2190.
28.	Handa Y, Tsutani Y, Mimae T, et al. Complex segmentectomy in the treatment of stage ⅠA non-small-cell lung cancer. Eur J Cardiothorac Surg, 2020, 57(1): 114-121.
29.	Handa Y, Tsutani Y, Mimae T, et al. Surgical outcomes of complex versus simple segmentectomy for stageⅠnon-small cell lung cancer. Ann Thorac Surg, 2019, 107(4): 1032-1039.
30.	Oizumi H, Kanauchi N, Kato H, et al. Anatomic thoracoscopic pulmonary segmentectomy under 3-dimensional multidetector computed tomography simulation: A report of 52 consecutive cases. J Thorac Cardiovasc Surg, 2011, 141(3): 678-682.
31.	Yamashita S, Tokuishi K, Anami K, et al. Thoracoscopic segmentectomy for T1 classification of non-small cell lung cancer: A single center experience. Eur J Cardiothorac Surg, 2012, 42(1): 83-88.
32.	Zhong C, Fang W, Mao T, et al. Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy for small-sized stage ⅠA lung cancer. Ann Thorac Surg, 2012, 94(2): 362-367.
33.	Lin Y, Zheng W, Zhu Y, et al. Comparison of treatment outcomes between single-port video-assisted thoracoscopic anatomic segmentectomy and lobectomy for non-small cell lung cancer of early-stage: A retrospective observational study. J Thorac Dis, 2016, 8(6): 1290-1296.
34.	黄麟, 郑斌, 陈椿, 等. 探究单孔胸腔镜应用于高龄非小细胞肺癌患者的临床疗效: 肺叶、肺段及两者对比分析. 中国肺癌杂志, 2018, 21(4): 287-295.
35.	Ghaly G, Kamel M, Nasar A, et al. Video-assisted thoracoscopic surgery is a safe and effective alternative to thoracotomy for anatomical segmentectomy in patients with clinical stage Ⅰnon-small cell lung cancer. Ann Thorac Surg, 2016, 101(2): 465-472.
36.	Schuchert MJ, Pettiford BL, Pennathur A, et al. Anatomic segmentectomy for stageⅠ non-small-cell lung cancer: Comparison of video-assisted thoracic surgery versus open approach. J Thorac Cardiovasc Surg, 2009, 138(6): 1318-1325.
37.	Witte B, Stenz C, Vahl CF, et al. Comparative intention-to-treat analysis of the video-assisted thoracoscopic surgery approach to pulmonary segmentectomy for lung carcinoma. Interact Cardiovasc Thorac Surg, 2015, 21(3): 276-283.
38.	Shao C, Zheng C, Yan W, et al. Evaluation of efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer. Oncol Lett, 2018, 15(6): 9516-9522.
39.	Lopez-Pastorini A, Koryllos A, Schnell J, et al. Perioperative outcome after open and thoracoscopic segmentectomy for the treatment of malignant and benign pulmonary lesions: A propensity-matched analysis. J Thorac Dis, 2018, 10(6): 3651-3660.
40.	Atkins BZ, Harpole DH, Mangum JH, et al. Pulmonary segmentectomy by thoracotomy or thoracoscopy: Reduced hospital length of stay with a minimally-invasive approach. Ann Thorac Surg, 2007, 84(4): 1107-1112.
41.	Surendrakumar V, Martin-Ucar AE, Edwards JG, et al. Evaluation of surgical approaches to anatomical segmentectomies: The transition to minimal invasive surgery improves hospital outcomes. J Thorac Dis, 2017, 9(10): 3896-3902.
42.	Meacci E, Nachira D, Zanfrini E, et al. Uniportal VATS approach to sub-lobar anatomic resections: Literature review and personal experience. J Thorac Dis, 2020, 12(6): 3376-3389.
43.	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(1): 43-46.
44.	Wang BY, Liu CY, Hsu PK, et al. Single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy: A propensity-matched analysis. Ann Surg, 2015, 261(4): 793-799.
45.	Ji C, Xiang Y, Pagliarulo V, et al. A multi-center retrospective study of single-port versus multi-port video-assisted thoracoscopic lobectomy and anatomic segmentectomy. J Thorac Dis, 2017, 9(10): 3711-3718.
46.	Han KN, Kim HK, Choi YH. Comparison of single port versus multiport thoracoscopic segmentectomy. J Thorac Dis, 2016, 8(Suppl 3): S279-S286.
47.	Lee J, Lee JY, Choi JS, et al. Comparison of uniportal versus multiportal video-assisted thoracoscopic surgery pulmonary segmentectomy. Korean J Thorac Cardiovasc Surg, 2019, 52(3): 141-147.
48.	Chen YY, Huang WL, Chang CC, et al. Uniportal versus multiportal thoracoscopic complex segmentectomy: Propensity matching analysis. Ann Thorac Cardiovasc Surg, 2021, 27(4): 237-243.
49.	McKenna RJ. Complications and learning curves for video-assisted thoracic surgery lobectomy. Thorac Surg Clin, 2008, 18(3): 275-280.
50.	Petersen RH, Hansen HJ. Learning curve associated with VATS lobectomy. Ann Cardiothorac Surg, 2012, 1(1): 47-50.
51.	Hernandez-Arenas LA, Lin L, Purmessur RD, et al. Uniportal video-assisted thoracoscopic early learning curve for major lung resections in a high volume training center. J Thorac Dis, 2018, 10(Suppl 31): S3670-S3677.
52.	Chen L, Pan Y, Zhang Q, et al. Learning curve for uniportal thoracoscopic anatomical pulmonary segmentectomy. Surg Innov, 2020, 27(4): 378-383.
53.	Li S, Wu J, Wan Z, et al. The learning curve for uniportal video-assisted thoracoscopic anatomical segmentectomy. J Surg Oncol, 2021, 124(3): 441-452.
54.	Cheng K, Zheng B, Zhang S, et al. Feasibility and learning curve of uniportal video-assisted thoracoscopic segmentectomy. J Thorac Dis, 2016, 8(Suppl 3): S229-S234.
55.	彭晓炯. 单孔胸腔镜下解剖性肺段切除术治疗非小细胞肺癌学习曲线. 山西医科大学, 2021.

1. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2. Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
3. Okada M, Nishio W, Sakamoto T, et al. Effect of tumor size on prognosis in patients with non-small cell lung cancer: The role of segmentectomy as a type of lesser resection. J Thorac Cardiovasc Surg, 2005, 129(1): 87-93.
4. Ginsberg RJ, Rubinstein LV. Randomized trial of lobectomy versus limited resection for T1 N0 non-small cell lung cancer. Lung Cancer Study Group. Ann Thorac Surg, 1995, 60(3): 615-622.
5. Yan TD, Black D, Bannon PG, et al. 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(15): 2553-2562.
6. Martin-Ucar AE, Nakas A, Pilling JE, et al. A case-matched study of anatomical segmentectomy versus lobectomy for stageⅠlung cancer in high-risk patients. Eur J Cardiothorac Surg, 2005, 27(4): 675-679.
7. Koike T, Yamato Y, Yoshiya K, et al. Intentional limited pulmonary resection for peripheral T1N0M0 small-sized lung cancer. J Thorac Cardiovasc Surg, 2003, 125(4): 924-928.
8. Smith CB, Swanson SJ, Mhango G, et al. Survival after segmentectomy and wedge resection in stageⅠnon-small-cell lung cancer. J Thorac Oncol, 2013, 8(1): 73-78.
9. Saji H, Okada M, Tsuboi M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): A multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet, 2022, 399(10335): 1607-1617.
10. Watanabe A, Ohori S, Nakashima S, et al. Feasibility of video-assisted thoracoscopic surgery segmentectomy for selected peripheral lung carcinomas. Eur J Cardiothorac Surg, 2009, 35(5): 775-780.
11. Kagimoto A, Tsutani Y, Mimae T, et al. Segmentectomy versus wedge resection for radiological solid predominant and low metabolic non-small cell lung cancer. Interact Cardiovasc Thorac Surg, 2022, 34(5): 814-821.
12. Yim AP. VATS major pulmonary resection revisited—Controversies, techniques, and results. Ann Thorac Surg, 2002, 74(2): 615-623.
13. Gonzalez-Rivas D, Fieira E, Mendez L, et al. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg, 2012, 42(6): e169-e171.
14. Han KN, Kim HK, Lee HJ, et al. Single-port video-assisted thoracoscopic pulmonary segmentectomy: A report on 30 cases. Eur J Cardiothorac Surg, 2016, 49 Suppl 1: i42-i47.
15. 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-S294.
16. NCCN clinical practice guidelines in oncology: Non-small cell lung cancer (2021 version 1). URL: https://www.nccn.org/professionals/physician_gls/. 2020-11-25.
17. 中华医学会肿瘤学分会, 中华医学会杂志社. 中华医学会肿瘤学分会肺癌临床诊疗指南(2021版). 中华肿瘤杂志, 2021, 43(6): 591-621.
18. Han D, Cao Y, Wu H, et al. Uniportal video-assisted thoracic surgery for the treatment of lung cancer: A consensus report from Chinese Society for Thoracic and Cardiovascular Surgery (CSTCVS) and Chinese Association of Thoracic Surgeons (CATS). Transl Lung Cancer Res, 2020, 9(4): 971-987.
19. Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
20. Misaki N, Chang SS, Gotoh M, et al. A novel method for determining adjacent lung segments with infrared thoracoscopy. J Thorac Cardiovasc Surg, 2009, 138(3): 613-618.
21. 陈亮, 葛明建. 肺段切除术中段间平面显示方法的研究进展. 中国肺癌杂志, 2020, 23(9): 818-823.
22. Tsubota N. An improved method for distinguishing the intersegmental plane of the lung. Surg Today, 2000, 30(10): 963-964.
23. Oizumi H, Kato H, Endoh M, et al. Slip knot bronchial ligation method for thoracoscopic lung segmentectomy. Ann Thorac Surg, 2014, 97(4): 1456-1458.
24. Sugimoto S, Oto T, Miyoshi K, et al. A novel technique for identification of the lung intersegmental plane using dye injection into the segmental pulmonary artery. J Thorac Cardiovasc Surg, 2011, 141(5): 1325-1327.
25. Iwata H, Shirahashi K, Mizuno Y, et al. Surgical technique of lung segmental resection with two intersegmental planes. Interact Cardiovasc Thorac Surg, 2013, 16(4): 423-425.
26. Sekine Y, Ko E, Oishi H, et al. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg, 2012, 143(6): 1330-1335.
27. Oh S, Suzuki K, Miyasaka Y, et al. New technique for lung segmentectomy using indocyanine green injection. Ann Thorac Surg, 2013, 95(6): 2188-2190.
28. Handa Y, Tsutani Y, Mimae T, et al. Complex segmentectomy in the treatment of stage ⅠA non-small-cell lung cancer. Eur J Cardiothorac Surg, 2020, 57(1): 114-121.
29. Handa Y, Tsutani Y, Mimae T, et al. Surgical outcomes of complex versus simple segmentectomy for stageⅠnon-small cell lung cancer. Ann Thorac Surg, 2019, 107(4): 1032-1039.
30. Oizumi H, Kanauchi N, Kato H, et al. Anatomic thoracoscopic pulmonary segmentectomy under 3-dimensional multidetector computed tomography simulation: A report of 52 consecutive cases. J Thorac Cardiovasc Surg, 2011, 141(3): 678-682.
31. Yamashita S, Tokuishi K, Anami K, et al. Thoracoscopic segmentectomy for T1 classification of non-small cell lung cancer: A single center experience. Eur J Cardiothorac Surg, 2012, 42(1): 83-88.
32. Zhong C, Fang W, Mao T, et al. Comparison of thoracoscopic segmentectomy and thoracoscopic lobectomy for small-sized stage ⅠA lung cancer. Ann Thorac Surg, 2012, 94(2): 362-367.
33. Lin Y, Zheng W, Zhu Y, et al. Comparison of treatment outcomes between single-port video-assisted thoracoscopic anatomic segmentectomy and lobectomy for non-small cell lung cancer of early-stage: A retrospective observational study. J Thorac Dis, 2016, 8(6): 1290-1296.
34. 黄麟, 郑斌, 陈椿, 等. 探究单孔胸腔镜应用于高龄非小细胞肺癌患者的临床疗效: 肺叶、肺段及两者对比分析. 中国肺癌杂志, 2018, 21(4): 287-295.
35. Ghaly G, Kamel M, Nasar A, et al. Video-assisted thoracoscopic surgery is a safe and effective alternative to thoracotomy for anatomical segmentectomy in patients with clinical stage Ⅰnon-small cell lung cancer. Ann Thorac Surg, 2016, 101(2): 465-472.
36. Schuchert MJ, Pettiford BL, Pennathur A, et al. Anatomic segmentectomy for stageⅠ non-small-cell lung cancer: Comparison of video-assisted thoracic surgery versus open approach. J Thorac Cardiovasc Surg, 2009, 138(6): 1318-1325.
37. Witte B, Stenz C, Vahl CF, et al. Comparative intention-to-treat analysis of the video-assisted thoracoscopic surgery approach to pulmonary segmentectomy for lung carcinoma. Interact Cardiovasc Thorac Surg, 2015, 21(3): 276-283.
38. Shao C, Zheng C, Yan W, et al. Evaluation of efficacy and safety of minimally invasive segmentectomy in the treatment of lung cancer. Oncol Lett, 2018, 15(6): 9516-9522.
39. Lopez-Pastorini A, Koryllos A, Schnell J, et al. Perioperative outcome after open and thoracoscopic segmentectomy for the treatment of malignant and benign pulmonary lesions: A propensity-matched analysis. J Thorac Dis, 2018, 10(6): 3651-3660.
40. Atkins BZ, Harpole DH, Mangum JH, et al. Pulmonary segmentectomy by thoracotomy or thoracoscopy: Reduced hospital length of stay with a minimally-invasive approach. Ann Thorac Surg, 2007, 84(4): 1107-1112.
41. Surendrakumar V, Martin-Ucar AE, Edwards JG, et al. Evaluation of surgical approaches to anatomical segmentectomies: The transition to minimal invasive surgery improves hospital outcomes. J Thorac Dis, 2017, 9(10): 3896-3902.
42. Meacci E, Nachira D, Zanfrini E, et al. Uniportal VATS approach to sub-lobar anatomic resections: Literature review and personal experience. J Thorac Dis, 2020, 12(6): 3376-3389.
43. 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(1): 43-46.
44. Wang BY, Liu CY, Hsu PK, et al. Single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy: A propensity-matched analysis. Ann Surg, 2015, 261(4): 793-799.
45. Ji C, Xiang Y, Pagliarulo V, et al. A multi-center retrospective study of single-port versus multi-port video-assisted thoracoscopic lobectomy and anatomic segmentectomy. J Thorac Dis, 2017, 9(10): 3711-3718.
46. Han KN, Kim HK, Choi YH. Comparison of single port versus multiport thoracoscopic segmentectomy. J Thorac Dis, 2016, 8(Suppl 3): S279-S286.
47. Lee J, Lee JY, Choi JS, et al. Comparison of uniportal versus multiportal video-assisted thoracoscopic surgery pulmonary segmentectomy. Korean J Thorac Cardiovasc Surg, 2019, 52(3): 141-147.
48. Chen YY, Huang WL, Chang CC, et al. Uniportal versus multiportal thoracoscopic complex segmentectomy: Propensity matching analysis. Ann Thorac Cardiovasc Surg, 2021, 27(4): 237-243.
49. McKenna RJ. Complications and learning curves for video-assisted thoracic surgery lobectomy. Thorac Surg Clin, 2008, 18(3): 275-280.
50. Petersen RH, Hansen HJ. Learning curve associated with VATS lobectomy. Ann Cardiothorac Surg, 2012, 1(1): 47-50.
51. Hernandez-Arenas LA, Lin L, Purmessur RD, et al. Uniportal video-assisted thoracoscopic early learning curve for major lung resections in a high volume training center. J Thorac Dis, 2018, 10(Suppl 31): S3670-S3677.
52. Chen L, Pan Y, Zhang Q, et al. Learning curve for uniportal thoracoscopic anatomical pulmonary segmentectomy. Surg Innov, 2020, 27(4): 378-383.
53. Li S, Wu J, Wan Z, et al. The learning curve for uniportal video-assisted thoracoscopic anatomical segmentectomy. J Surg Oncol, 2021, 124(3): 441-452.
54. Cheng K, Zheng B, Zhang S, et al. Feasibility and learning curve of uniportal video-assisted thoracoscopic segmentectomy. J Thorac Dis, 2016, 8(Suppl 3): S229-S234.
55. 彭晓炯. 单孔胸腔镜下解剖性肺段切除术治疗非小细胞肺癌学习曲线. 山西医科大学, 2021.

Previous Article
Research progress on animal model of hepatocellular carcinoma
Next Article
Research progress on animal model of hepatocellular carcinoma

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical application and research progress of uniportal video-assisted thoracoscopic anatomic segmentectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content