We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Periareolar approach in video-assisted thoracoscopic surgery for right middle lobectomy: a novel technique.
- Authors
Mao, Zhangfan; Dong, Ping; Zhou, Qing; Zhang, Shaowen
- Abstract
Background: Uniportal thoracoscopic right middle lobectomy (RML) poses greater technical challenges than other lobectomies. Although two-port thoracoscopy offers convenience, it results in heightened surgical trauma and scarring. The periareolar incision is rarely used in lobectomy while known for its cosmetic advantages. This study presents the periareolar access (combining a periareolar port and a 1-cm port) for video-assisted thoracoscopic surgery (VATS) in RML, comparing it with the traditional uniportal technique in both male and female patients. Methods: Eighty patients who underwent RML were randomly divided into two groups: the periareolar VATS (PV) approach (n = 40) and the uniportal VATS (UV) approach (n = 40) from August 2020 to February 2023. All patients were followed up for 1 year and clinical data were collected and analyzed. Results: No significant differences in complications, blood loss, duration of chest tube placement, and length of postoperative hospital stay were observed between two methods. However, the PV group exhibited significantly shorter operative time, reduced postoperative visible scarring and lower visual analogue scores (VAS) for postoperative pain (P < 0.05). Additionally, the PV group demonstrated significantly higher cosmetic and satisfaction scores at the 6-month postoperative assessment (P < 0.05). Notably, breast ultrasound follow-up revealed two cases injuries of the mammary glands in female patients, and sensory function of most nipple and areola remained intact except two cases in all PV group patients. Conclusions: Periareolar VATS emerges as a promising alternative approach for RML, providing clear benefits in pain management and cosmetic outcomes, while maintaining safety and convenience.
- Subjects
VIDEO-assisted thoracic surgery; PEARSON correlation (Statistics); T-test (Statistics); PATIENT safety; STATISTICAL sampling; FISHER exact test; RANDOMIZED controlled trials; MANN Whitney U Test; CHI-squared test; DESCRIPTIVE statistics; SURGICAL therapeutics; LUNG tumors; PAIN management; DATA analysis software; LENGTH of stay in hospitals; PATIENT satisfaction; PNEUMONECTOMY; NIPPLE (Anatomy)
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2024, Vol 38, Issue 9, p5457
- ISSN
1866-6817
- Publication type
Article
- DOI
10.1007/s00464-024-11121-1