Comparison Of Prioperative Outcomes Of Uniport And Three-Port Video-Assisted Thoracoscopic Surgery For Stage ⅠA Non-Small Cell Lung Cancer

Objective:In order to compare the perioperative outcomes of uniport and three-port video-assisted thoracoscopic surgery(VATS)for stage ⅠA non-small cell lung cancer(NSCLC).Methods:A total of 268 patients with stage ⅠA NSCLC were assigned to receive either three-port VATS(n=204)or uniport VATS(n=64).In the uniport VATS group,34 patients underwent NSCLC at the maturation stage(uniport maturation group).Operative time,intraoperative blood loss,number of lymph nodes dissected,postoperative extubation time,postoperative VAS score,hospital stay,incision length and postoperative complications were compared among the three groups.Rusults:The operation was completed successfully and no death occurred in all patients.Compared with three-port VATS group,the operative time and intraoperative blood loss increased but the postoperative VAS score,hospital stay and incision length decreased in both uniport VATS group and uniport maturation group(P<0.05).Furthermore,the time to postoperative extubation in uniport maturation group was shorter than that in three-port VATS group(P<0.05).Conclusion:Uniport VATS exerts the same effect as three-port VATS on stage ⅠA NSCLC in pulmonary lobectomy and systematic lymph node dissection.While,uniport VATS is superior to three-port VATS for improving postoperative pain,short-term quality of life and incision appearance.Video-Assisted Thoracoscopic Surgery has the benefit of less trauma and pain.