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Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1-3N0M0 non-small cell lung cancer: a systematic review and meta-analysis

Uniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioper... Full description

Journal Title: Journal of thoracic disease April 2018, Vol.10(4), pp.2186-2195
Main Author: Yang, Xinyu
Other Authors: Li, Ming , Yang, Xiaodong , Zhao, Mengnan , Huang, Yiwei , Dai, Xiyu , Jiang, Tian , Feng, Mingxiang , Zhan, Cheng , Wang, Qun
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 2072-1439 ; PMID: 29850122 Version:1 ; DOI: 10.21037/jtd.2018.03.74
Link: http://pubmed.gov/29850122
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recordid: medline29850122
title: Uniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1-3N0M0 non-small cell lung cancer: a systematic review and meta-analysis
format: Article
creator:
  • Yang, Xinyu
  • Li, Ming
  • Yang, Xiaodong
  • Zhao, Mengnan
  • Huang, Yiwei
  • Dai, Xiyu
  • Jiang, Tian
  • Feng, Mingxiang
  • Zhan, Cheng
  • Wang, Qun
subjects:
  • Non-Small Cell Lung Cancer (Nsclc)
  • Meta-Analysis
  • Multi-Port
  • Perioperative Efficacy
  • Single-Port Video-Assisted Thoracoscopic Surgery
ispartof: Journal of thoracic disease, April 2018, Vol.10(4), pp.2186-2195
description: Uniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioperative efficacy of uniport and multiport VATS for T1-3N0M0 NSCLC. An electronic and manual search of literature published before 1st October 2017 was conducted using PubMed, Embase, Web of Science, and the Wiley Online library. The effective values of dichotomous variables or continuous variables were estimated by odds ratios (OR) or by standardized mean differences (SMD) with 95% confidence intervals (CIs) respectively. Eleven relevant observational studies were included for meta-analysis. Results demonstrated that patients in the uniport group had a significant reduction in the duration of postoperative drainage (uniport: 4.39±2.48 multiport: 4.99±3.24 days; P=0.003), bleeding volume (97.7±60.0 116.7±99.7 mL; P=0.006), length of hospital stay (6.3±2.4 7.0±3.6 days; P
language: eng
source:
identifier: ISSN: 2072-1439 ; PMID: 29850122 Version:1 ; DOI: 10.21037/jtd.2018.03.74
fulltext: fulltext
issn:
  • 20721439
  • 2072-1439
url: Link


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titleUniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1-3N0M0 non-small cell lung cancer: a systematic review and meta-analysis
creatorYang, Xinyu ; Li, Ming ; Yang, Xiaodong ; Zhao, Mengnan ; Huang, Yiwei ; Dai, Xiyu ; Jiang, Tian ; Feng, Mingxiang ; Zhan, Cheng ; Wang, Qun
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subjectNon-Small Cell Lung Cancer (Nsclc) ; Meta-Analysis ; Multi-Port ; Perioperative Efficacy ; Single-Port Video-Assisted Thoracoscopic Surgery
descriptionUniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioperative efficacy of uniport and multiport VATS for T1-3N0M0 NSCLC. An electronic and manual search of literature published before 1st October 2017 was conducted using PubMed, Embase, Web of Science, and the Wiley Online library. The effective values of dichotomous variables or continuous variables were estimated by odds ratios (OR) or by standardized mean differences (SMD) with 95% confidence intervals (CIs) respectively. Eleven relevant observational studies were included for meta-analysis. Results demonstrated that patients in the uniport group had a significant reduction in the duration of postoperative drainage (uniport: 4.39±2.48 multiport: 4.99±3.24 days; P=0.003), bleeding volume (97.7±60.0 116.7±99.7 mL; P=0.006), length of hospital stay (6.3±2.4 7.0±3.6 days; P<0.001), VAS of postoperative pain (2.53±0.73 4.22±0.71, P=0.02) and in the overall rate of complications (14.5% 17.5%; P=0.008). There were no significant differences between the two treatment groups with regards to mortality, operative time, the number of dissected lymph nodes or the conversion rate. Uniport VATS might have represent a preferable option for the treatment of T1-3N0M0 NSCLC, due to its superior perioperative efficacy.
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titleUniport versus multiport video-assisted thoracoscopic surgery in the perioperative treatment of patients with T1-3N0M0 non-small cell lung cancer: a systematic review and meta-analysis
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0Uniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioperative efficacy of uniport and multiport VATS for T1-3N0M0 NSCLC.
1An electronic and manual search of literature published before 1st October 2017 was conducted using PubMed, Embase, Web of Science, and the Wiley Online library. The effective values of dichotomous variables or continuous variables were estimated by odds ratios (OR) or by standardized mean differences (SMD) with 95% confidence intervals (CIs) respectively.
2Eleven relevant observational studies were included for meta-analysis. Results demonstrated that patients in the uniport group had a significant reduction in the duration of postoperative drainage (uniport: 4.39±2.48 multiport: 4.99±3.24 days; P=0.003), bleeding volume (97.7±60.0 116.7±99.7 mL; P=0.006), length of hospital stay (6.3±2.4 7.0±3.6 days; P<0.001), VAS of postoperative pain (2.53±0.73 4.22±0.71, P=0.02) and in the overall rate of complications (14.5% 17.5%; P=0.008). There were no significant differences between the two treatment groups with regards to mortality, operative time, the number of dissected lymph nodes or the conversion rate.
3Uniport VATS might have represent a preferable option for the treatment of T1-3N0M0 NSCLC, due to its superior perioperative efficacy.
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abstractUniport video-assisted thoracoscopic surgery (VATS) has emerged as a less invasive approach for the treatment of non-small cell lung cancer (NSCLC). However, whether uniport VATS has more potential advantages over multiport VATS remains controversial. This meta-analysis aimed to compare the perioperative efficacy of uniport and multiport VATS for T1-3N0M0 NSCLC.
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