Uniportal vs. Multiportal: Patient Outcomes in Thoracoscopy

National Center for Respiratory Medicine

Key findings

• This study found the uniportal approach could reduce postoperative symptom burden and produce better clinical outcomes compared with the multiportal approach among sub-lobar resection patients.

What is known and what is new?

• Existing knowledge found that uniportal lobectomy had lower symptom burden compared with multiportal lobectomy.

• This study found uniportal approach had a lower symptom burden compared with multiportal sub-lobar resection, including wedge resection and segmentectomy.

What is the implication, and what should change now?

• This study suggests that the uniportal approach may have superior outcomes compared with multiportal approach in sub-lobar resection. Clinical trials should be conducted in the future to further validate this result.

Publication: Li XL, Tang DZ, Chen YZ, Li ZY, Tang Y, Deng C, Shi QL, Qiao GB. Comparison of patient-reported outcomes after uniportal versus multiportal video-assisted thoracoscopic sub-lobar resection. J Thorac Dis 2025;17(3):1185-1196. doi: 10.21037/jtd-24-1816

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