TY - JOUR
T1 - Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)
AU - Bertolaccini, Luca
AU - Batirelb, Hasan
AU - Brunelli, Alessandro
AU - Gonzalez-Rivasd, Diego
AU - Ismail, Mahmoud
AU - Ucar, Antonio Martin
AU - Ng, Calvin S. H.
AU - Scarci, Marco
AU - Sihoe, Alan D. L.
AU - Ugalde, Paula A.
AU - Akar, Firas Abu
AU - Bedetti, Benedetta
AU - Nadalo, Sergio Bolufer
AU - Brandolinia, Jury
AU - Crucitti, Pierfilippo
AU - Enyedi, Attila
AU - Fernando, Hiran C.
AU - Furaks, Jozsef
AU - Gallego-Povedat, Javier
AU - Galvez-Munosu, Carlos
AU - Hankev, Ivo
AU - Hernandez-Arenasw, Luis A.
AU - Janik, Miroslav
AU - Juhos, Peter
AU - Libretti, Lidia
AU - Lucciarini, Paolo
AU - PaoloMacrı`, null
AU - Margaritora, Stefano
AU - RezaMahoozi, Hamid
AU - Nachira, Dania
AU - Pardolesi, Alessandro
AU - VadimPischik, null
AU - Sagan, Dariusz
AU - Schreurs, Hermien
AU - Sekhniaidze, Dmitrii
AU - Socci, Laura
AU - Tosi, Davide
AU - Turna, Akif
AU - Vannucci, Fernando
AU - Rocco, Marcin Zielinski and Gaetano
AU - (ESTS), on behalf of the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons
PY - 2019
Y1 - 2019
N2 - OBJECTIVES: Our goal was to report the results of the first consensus paper among international experts in uniportal video-assisted thoracoscopic\r\nsurgery (UniVATS) lobectomy obtained through a Delphi process, the objective of which was to define and standardize the main\r\nprocedural steps, optimize its indications and perioperative management and identify elements to assist in future training.\r\nMETHODS: The 40 members of the working group were convened and organized on a voluntary basis by the Uniportal VATS Interest\r\nGroup (UVIG) of the European Society of Thoracic Surgeons (ESTS). An e-consensus finding exercise using the Delphi method was applied\r\nto require 75% agreement for reaching consensus on each question. Repeated iterations of anonymous voting continued for 3 rounds.\r\nRESULTS: Overall, 31 international experts from 18 countries completed all 3 rounds of questionnaires. Although a technical quorum was\r\nnot achieved, most of the responders agreed that the maximum size of a UniVATS incision should be <4 cm. Agreement was reached on\r\nmany points outlining the currently accepted definition of a UniVATS lobectomy, its indications and contraindications, perioperative clinical\r\nmanagement and recommendations for training and future research directions.\r\nCONCLUSIONS: The UVIG Consensus Report stated that UniVATS offers a valid alternative to standard VATS techniques. Only longer\r\nfollow-up and randomized controlled studies will predict whether UniVATS represents a valid alternative approach to multiport VATS for\r\nmajor lung resections or whether it should be performed only in selected cases and by selected centres. The next step for the ESTS UVIG is\r\nthe establishment of a UniVATS section inside the ESTS databases.\r\nKeywords: Uniportal video-assisted thoracoscopic surgery • Single site incision • Lung cancer • Consensus • Delphi approach
AB - OBJECTIVES: Our goal was to report the results of the first consensus paper among international experts in uniportal video-assisted thoracoscopic\r\nsurgery (UniVATS) lobectomy obtained through a Delphi process, the objective of which was to define and standardize the main\r\nprocedural steps, optimize its indications and perioperative management and identify elements to assist in future training.\r\nMETHODS: The 40 members of the working group were convened and organized on a voluntary basis by the Uniportal VATS Interest\r\nGroup (UVIG) of the European Society of Thoracic Surgeons (ESTS). An e-consensus finding exercise using the Delphi method was applied\r\nto require 75% agreement for reaching consensus on each question. Repeated iterations of anonymous voting continued for 3 rounds.\r\nRESULTS: Overall, 31 international experts from 18 countries completed all 3 rounds of questionnaires. Although a technical quorum was\r\nnot achieved, most of the responders agreed that the maximum size of a UniVATS incision should be <4 cm. Agreement was reached on\r\nmany points outlining the currently accepted definition of a UniVATS lobectomy, its indications and contraindications, perioperative clinical\r\nmanagement and recommendations for training and future research directions.\r\nCONCLUSIONS: The UVIG Consensus Report stated that UniVATS offers a valid alternative to standard VATS techniques. Only longer\r\nfollow-up and randomized controlled studies will predict whether UniVATS represents a valid alternative approach to multiport VATS for\r\nmajor lung resections or whether it should be performed only in selected cases and by selected centres. The next step for the ESTS UVIG is\r\nthe establishment of a UniVATS section inside the ESTS databases.\r\nKeywords: Uniportal video-assisted thoracoscopic surgery • Single site incision • Lung cancer • Consensus • Delphi approach
KW - Uniportal video-assisted thoracoscopic surgery
KW - Uniportal video-assisted thoracoscopic surgery
UR - https://publicatt.unicatt.it/handle/10807/152849
UR - https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85070181326&origin=inward
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85070181326&origin=inward
U2 - 10.1093/ejcts/ezz133
DO - 10.1093/ejcts/ezz133
M3 - Article
SN - 1010-7940
VL - 56
SP - 224
EP - 229
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
IS - 2
ER -
