Abstract：Objective To compare the clinical outcomes between uniportal video-assisted thoracoscopic surgery (VATS) and multiportal VATS for NSCLC.Methods The clinical data on 132 patients with NSCLC treated between August 2015 and October 2017 was retrospectively analyzed. All the patients were divided into two groups: the uniportal VATS group and multiportal VATS group. In the first group, a single incision was completed through the fifth intercostal space in the axillary midline while the second group had a number of incisions as required. Postoperative pain was compared using the visual analogue pain scale (VAS). The clinical effects were compared with reference to the duration of surgery, the amount of perioperative bleeding, thoracic drainage volume, postoperative hospital stay and postoperative complications.Results All the operations were successful in 132 cases and no one died perioperatively. The duration of surgery of the uniportal VATS group was longer than that of the latter (P<0.05). There was no significant difference in the postoperative drainage volume, duration of drainage, postoperative hospital stay, operative blood loss or lymph node dissection. The VAS on the first postoperative day was not significantly different between the two groups, but was lower in the uniportal group on postoperative third, fifth, seventh days (3.91±0.39,3.04±0.13,1.53±0.09) than in the multiportal group(5.78±0.48,4.41±0.19,2.72±0.15) (P<0.05). There was no significant difference in postoperative complications between the two groups (22.2% versus 21.7%).Conclusions Uniportal VATS can help alleviate postoperative pain and recovery. Uniportal VATS is as effective as multiportal VATS for managing complications and removing lymph nodes.
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2018, Vol. 29 
