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Transareolar uniportal video-assisted thoracoscopic surgery for the treatment of male patients with peripheral pulmonary nodules: a novel technique in thoracic surgery

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Abstract

In this study, we report the use of transareolar uniportal video-assisted thoracoscopic surgery (VATS) in thoracic surgery for the treatment of male patients with peripheral pulmonary nodules. From February 2014 to September 2018, 46 male patients with small PPNs underwent VATS, of whom 41 underwent unilateral VATS, and five underwent bilateral VATS. All procedures were successfully performed. Patients received 1 year of outpatient follow-up postoperatively. The data indicated that the average operation times were 32.7 min (unilateral) and 58.6 min (bilateral). The mean length of the incision was 2.7 ± 0.3 cm, with a mean cosmetic score of 3.2 ± 0.7 at the time of discharge. All patients rapidly recovered consciousness postoperatively. The length of postoperative hospitalization (LOH) was 3.4 ± 1.4 days. There was no obvious surgical scarring on the chest wall, and no patients complained of postoperative pain at 6 months postoperatively. No recurrence or metastasis was found during the 1-year follow-up. Transareolar uniportal VATS for peripheral pulmonary nodules resulted in good cosmetic outcomes and high patient satisfaction. Transareolar uniportal VATS is a safe and effective therapeutic procedure for male patients with small PPNs and especially produces good cosmetic outcomes.

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Funding

The study was supported by the Natural Science Foundation of China (Grant 81701241).

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Author notes

  1. Jianbo Lin and Yinhe Yin contributed equally to this work.

Authors and Affiliations

  1. Department of Thoracic Surgery, First Affiliated Hospital of Fujian Medical University, No. 20 Chazhong Road, Fuzhou, Fujian, 350005, People’s Republic of China

    Jianbo Lin, Yinhe Yin, Yi Zhuo, Xu Li & Fancai Lai

Authors
  1. Jianbo Lin
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  2. Yinhe Yin
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  3. Yi Zhuo
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  4. Xu Li
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  5. Fancai Lai
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Contributions

FL contributed to the study conception and design. Material preparation. Data collection and analysis were performed by JL, YY, YZ and XL. The first draft of the manuscript was written by JL and YY and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Fancai Lai.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Consent to participate

All patients gave written informed consent before undergoing any procedure.

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All authors approved the version to be published.

Availability of data and materials

The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.

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Not applicable.

Research involving human participants and/or animals

This study was approved by the Institutional Review Board of the First Affiliated Hospital of Fujian Medical University and was performed in compliance with ethical standards of the Helsinki declaration guidelines.

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Written informed consent was obtained from all patients in respect of national law.

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Supplementary file1 The procedure of transareolar uniportal video-assisted thoracoscopic surgery for the treatment of male patients with peripheral pulmonary nodules. (MPG 128690 KB)

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Lin, J., Yin, Y., Zhuo, Y. et al. Transareolar uniportal video-assisted thoracoscopic surgery for the treatment of male patients with peripheral pulmonary nodules: a novel technique in thoracic surgery. Updates Surg 73, 1541–1548 (2021). https://doi.org/10.1007/s13304-020-00945-w

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  • DOI: https://doi.org/10.1007/s13304-020-00945-w

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