Objective: To evaluate the feasibility and
safety of uniportal video-assisted thorascopic
pneumonectomy for
non-small cell lung cancer patients , as well as the surgical
techniques .
Methods: From January 2017 to June 2018, 23
non-small cell lung cancer patients who underwent uniportal
VATS pneumonectomy in our hospotal were retrospectively evaluated. There were 20
males and 3
females with a mean age of(60.3±6.0) years. The clinical data,
complications and operative
mortality were analyzed.
Results: All 23
patients with
lung cancer were operated safely. There was no conversion to
thoracotomy . The mean operating
time was(160.8±65.0) min. The mean
blood loss was(131.3±121.3) ml. The mean
hospital stays were(14.0±6.3) days. The mean postoperative
hospital stays were(8.0±4.5) days. Postoperative
morbidity occurred in 4
patients (17.4%). There was no perioperative
mortality .
Pathology examination of all
patients were
lung cancer (5 cases of
adenocarcinoma , 15 cases of
squamous carcinoma , 2 cases of large
cell carcinom, 1 case of
adenocarcinoma combined with
large cell carcinoma ).
Conclusion: Uniportal video-assisted thorascopic
pneumonectomy is a feasible operation that could be performed safely in a selected group of
patients by experienced
surgeons .