Single-port thoracoscopic anatomic resection for chronic inflammatory lung disease

Abstract Background It is challenging to proceed thoracoscopic anatomic resection when encountering severe pleural adhesion or calcified peribronchial lymphadenopathy. Compared with multiple-port video-assisted surgery (MP-VATS), how overcome these challenges in single-port (SP-) VATS still an intractable problem. In the present study, we reported surgical results of chronic inflammatory lung disease and shared some useful SP-VATS techniques. Methods We retrospectively assessed disease, primarily bronchiectasis, mycobacterial infection, at our institution between 2010 2018. The patients who underwent were compared those MP-VATS procedures. analyzed baseline characteristics, perioperative data, postoperative outcomes, illustrated four special techniques depending on situation: flexible hook electrocautery, hilum-first technique, application Satinsky vascular clamp, staged closure bronchial stump method. Results classified 170 consecutive undergoing into SP MP groups, which had significant between-group differences operation time overall complication rate ( P = 0.037 0.018, respectively). group, was shorter, conversion relatively lower (3.1% vs. 10.5%, 0.135). most common prolonged air leakage (SP-VATS, 10.8%; MP-VATS, 2.9%, 0.045). Conclusions For certain render feasible safe a rate.