Scholarlink

Introduction <p>Minimally invasive techniques are increasingly used in anatomical lung resections; however, the impact of different video-assisted thoracic surgery (VATS) port strategies on perioperative outcomes remains controversial. Evidence comparing uniportal and biportal VATS in terms of safety and postoperative pain is still limited. This study aimed to compare clinical and surgical outcomes of anatomical lung resections performed using uniportal and biportal VATS approaches.</p> Methods <p>Patients who underwent anatomical lung resection with minimally invasive techniques between January 2024 and September 2025 were retrospectively analyzed. Patients were grouped according to the surgical approach as uniportal VATS (U-VATS) or biportal VATS (B-VATS). Demographic data, comorbidities, operative variables, perioperative complications, conversion rates, postoperative pain scores, and length of hospital stay were compared.</p> Results <p>A total of 241 patients were included (131 U-VATS, 110 B-VATS). Age and sex distribution were similar between groups. Charlson comorbidity index scores, neoadjuvant treatment rates, and segmentectomy rates were significantly higher in the U-VATS group. Operative time, intraoperative and postoperative complications, conversion to thoracotomy, hospital stay, and 30- and 90-day mortality rates were comparable. Postoperative VAS pain scores on days 0, 3, and 14 were significantly lower in the U-VATS group.</p> Conclusion <p>Uniportal and biportal VATS provide similar perioperative safety in anatomical lung resections. U-VATS offers superior postoperative pain control and can be safely applied in patients with higher comorbidity burdens.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Uniportal Versus Biportal VATS for Anatomical Lung Resections: Is Perioperative Safety Comparable and Postoperative Pain Reduced?

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月5日

查看全文
  • Mustafa Vedat Doğru,
  • Gizem Özçıbık Işık,
  • Dilekhan Kizir,
  • Umut Kilimci,
  • Celal Buğra Sezen,
  • Özkan Saydam

摘要

Introduction

Minimally invasive techniques are increasingly used in anatomical lung resections; however, the impact of different video-assisted thoracic surgery (VATS) port strategies on perioperative outcomes remains controversial. Evidence comparing uniportal and biportal VATS in terms of safety and postoperative pain is still limited. This study aimed to compare clinical and surgical outcomes of anatomical lung resections performed using uniportal and biportal VATS approaches.

Methods

Patients who underwent anatomical lung resection with minimally invasive techniques between January 2024 and September 2025 were retrospectively analyzed. Patients were grouped according to the surgical approach as uniportal VATS (U-VATS) or biportal VATS (B-VATS). Demographic data, comorbidities, operative variables, perioperative complications, conversion rates, postoperative pain scores, and length of hospital stay were compared.

Results

A total of 241 patients were included (131 U-VATS, 110 B-VATS). Age and sex distribution were similar between groups. Charlson comorbidity index scores, neoadjuvant treatment rates, and segmentectomy rates were significantly higher in the U-VATS group. Operative time, intraoperative and postoperative complications, conversion to thoracotomy, hospital stay, and 30- and 90-day mortality rates were comparable. Postoperative VAS pain scores on days 0, 3, and 14 were significantly lower in the U-VATS group.

Conclusion

Uniportal and biportal VATS provide similar perioperative safety in anatomical lung resections. U-VATS offers superior postoperative pain control and can be safely applied in patients with higher comorbidity burdens.