Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

Luca Bertolaccini; Hasan Batirelb; Alessandro Brunelli; Diego Gonzalez-Rivasd; Mahmoud Ismail; Antonio Martin Ucar; Calvin S. H. Ng; Marco Scarci; Alan D. L. Sihoe; Paula A. Ugalde; Firas Abu Akar; Benedetta Bedetti; Sergio Bolufer Nadalo; Jury Brandolinia; Pierfilippo Crucitti; Attila Enyedi; Hiran C. Fernando; Jozsef Furaks; Javier Gallego-Povedat; Carlos Galvez-Munosu; Ivo Hankev; Luis A. Hernandez-Arenasw; Miroslav Janik; Peter Juhos; Lidia Libretti; Paolo Lucciarini; PaoloMacrı`; Stefano Margaritora; Hamid RezaMahoozi; Dania Nachira; Alessandro Pardolesi; VadimPischik; Dariusz Sagan; Hermien Schreurs; Dmitrii Sekhniaidze; Laura Socci; Davide Tosi; Akif Turna; Fernando Vannucci; Marcin Zielinski and Gaetano Rocco; on behalf of the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

doi:10.1093/ejcts/ezz133

Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

Luca Bertolaccini^*
, Hasan Batirelb
, Alessandro Brunelli
, Diego Gonzalez-Rivasd
, Mahmoud Ismail
, Antonio Martin Ucar
, Calvin S. H. Ng
, Marco Scarci
, Alan D. L. Sihoe
, Paula A. Ugalde
, Firas Abu Akar
, Benedetta Bedetti
, Sergio Bolufer Nadalo
, Jury Brandolinia
, Pierfilippo Crucitti
, Attila Enyedi
, Hiran C. Fernando
, Jozsef Furaks
, Javier Gallego-Povedat
, Carlos Galvez-Munosu

Ivo Hankev, Luis A. Hernandez-Arenasw, Miroslav Janik, Peter Juhos, Lidia Libretti, Paolo Lucciarini, PaoloMacrı`, Stefano Margaritora, Hamid RezaMahoozi, Dania Nachira, Alessandro Pardolesi, VadimPischik, Dariusz Sagan, Hermien Schreurs, Dmitrii Sekhniaidze, Laura Socci, Davide Tosi, Akif Turna, Fernando Vannucci, Marcin Zielinski and Gaetano Rocco, on behalf of the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

^*Autore corrispondente per questo lavoro

Ospedale Maggiore
IRCCS Istituto Europeo di Oncologia - Milano
Marmara University
Leeds Teaching Hospitals NHS Trust
University of A Coruna
Klinikum Ernst von Bergmann
Sheffield Teaching Hospitals NHS Foundation Trust
Azienda Ospedaliera San Gerardo Monza
Makassed Charitable Society Hospital
Shaare Zedek Medical Center
Malteser Hospital
Hospital General Universitario de Alicante
Universita Campus Bio-Medico di Roma
University of Debrecen
University of Szeged
Instituto de Medicina Molecular
Charles University
University Hospitals Birmingham NHS Foundation Trust
Slovak Medical University
Innsbruck Medical University
Evangelisches Krankenhaus Herne
IRCCS Fondazione Istituto Nazionale per lo studio e la cura dei tumori - Milano
St. Petersburg State University
Medical University of Lublin
North West Hospital Group
Regional Clinic Hospital
Cerrahpaşa Medical Faculty
IRCCS Fondazione Ca'Granda – Ospedale Maggiore Policlinico - Milano
Hospital Federal do Andaraí
Pulmonary Hospital

Risultato della ricerca: Contributo in rivista › Articolo

25 Citazioni (Scopus)

Abstract

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

Lingua originale	Inglese
pagine (da-a)	224-229
Numero di pagine	6
Rivista	European Journal of Cardio-thoracic Surgery
Volume	56
Numero di pubblicazione	2
DOI	https://doi.org/10.1093/ejcts/ezz133
Stato di pubblicazione	Pubblicato - 2019

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Questo processo contribuisce al raggiungimento dei seguenti obiettivi di sviluppo sostenibile

SDG 3 Salute e benessere

All Science Journal Classification (ASJC) codes

Chirurgia
Medicina Polmonare e Respiratoria
Cardiologia e Medicina Cardiovascolare

Keywords

Uniportal video-assisted thoracoscopic surgery

Accesso al documento

10.1093/ejcts/ezz133

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Cita questo

Bertolaccini, L., Batirelb, H., Brunelli, A., Gonzalez-Rivasd, D., Ismail, M., Ucar, A. M., Ng, C. S. H., Scarci, M., Sihoe, A. D. L., Ugalde, P. A., Akar, F. A., Bedetti, B., Nadalo, S. B., Brandolinia, J., Crucitti, P., Enyedi, A., Fernando, H. C., Furaks, J., Gallego-Povedat, J., ... (ESTS), O. B. O. T. U. VATS. I. G. O. T. E. S. O. T. S. (2019). Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). European Journal of Cardio-thoracic Surgery, 56(2), 224-229. https://doi.org/10.1093/ejcts/ezz133

@article{29214e7ae3914866b2047fbcd10f80ca,

title = "Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)",

abstract = "OBJECTIVES: Our goal was to report the results of the first consensus paper among international experts in uniportal video-assisted thoracoscopic\textbackslash{}r\textbackslash{}nsurgery (UniVATS) lobectomy obtained through a Delphi process, the objective of which was to define and standardize the main\textbackslash{}r\textbackslash{}nprocedural steps, optimize its indications and perioperative management and identify elements to assist in future training.\textbackslash{}r\textbackslash{}nMETHODS: The 40 members of the working group were convened and organized on a voluntary basis by the Uniportal VATS Interest\textbackslash{}r\textbackslash{}nGroup (UVIG) of the European Society of Thoracic Surgeons (ESTS). An e-consensus finding exercise using the Delphi method was applied\textbackslash{}r\textbackslash{}nto require 75\% agreement for reaching consensus on each question. Repeated iterations of anonymous voting continued for 3 rounds.\textbackslash{}r\textbackslash{}nRESULTS: Overall, 31 international experts from 18 countries completed all 3 rounds of questionnaires. Although a technical quorum was\textbackslash{}r\textbackslash{}nnot achieved, most of the responders agreed that the maximum size of a UniVATS incision should be <4 cm. Agreement was reached on\textbackslash{}r\textbackslash{}nmany points outlining the currently accepted definition of a UniVATS lobectomy, its indications and contraindications, perioperative clinical\textbackslash{}r\textbackslash{}nmanagement and recommendations for training and future research directions.\textbackslash{}r\textbackslash{}nCONCLUSIONS: The UVIG Consensus Report stated that UniVATS offers a valid alternative to standard VATS techniques. Only longer\textbackslash{}r\textbackslash{}nfollow-up and randomized controlled studies will predict whether UniVATS represents a valid alternative approach to multiport VATS for\textbackslash{}r\textbackslash{}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\textbackslash{}r\textbackslash{}nthe establishment of a UniVATS section inside the ESTS databases.\textbackslash{}r\textbackslash{}nKeywords: Uniportal video-assisted thoracoscopic surgery • Single site incision • Lung cancer • Consensus • Delphi approach",

keywords = "Uniportal video-assisted thoracoscopic surgery, Uniportal video-assisted thoracoscopic surgery",

author = "Luca Bertolaccini and Hasan Batirelb and Alessandro Brunelli and Diego Gonzalez-Rivasd and Mahmoud Ismail and Ucar, \{Antonio Martin\} and Ng, \{Calvin S. H.\} and Marco Scarci and Sihoe, \{Alan D. L.\} and Ugalde, \{Paula A.\} and Akar, \{Firas Abu\} and Benedetta Bedetti and Nadalo, \{Sergio Bolufer\} and Jury Brandolinia and Pierfilippo Crucitti and Attila Enyedi and Fernando, \{Hiran C.\} and Jozsef Furaks and Javier Gallego-Povedat and Carlos Galvez-Munosu and Ivo Hankev and Hernandez-Arenasw, \{Luis A.\} and Miroslav Janik and Peter Juhos and Lidia Libretti and Paolo Lucciarini and PaoloMacrı` and Stefano Margaritora and Hamid RezaMahoozi and Dania Nachira and Alessandro Pardolesi and VadimPischik and Dariusz Sagan and Hermien Schreurs and Dmitrii Sekhniaidze and Laura Socci and Davide Tosi and Akif Turna and Fernando Vannucci and Rocco, \{Marcin Zielinski and Gaetano\} and (ESTS), \{on behalf of the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons\}",

year = "2019",

doi = "10.1093/ejcts/ezz133",

language = "English",

volume = "56",

pages = "224--229",

journal = "European Journal of Cardio-thoracic Surgery",

issn = "1010-7940",

publisher = "European Association for Cardio-Thoracic Surgery",

number = "2",

}

Bertolaccini, L, Batirelb, H, Brunelli, A, Gonzalez-Rivasd, D, Ismail, M, Ucar, AM, Ng, CSH, Scarci, M, Sihoe, ADL, Ugalde, PA, Akar, FA, Bedetti, B, Nadalo, SB, Brandolinia, J, Crucitti, P, Enyedi, A, Fernando, HC, Furaks, J, Gallego-Povedat, J, Galvez-Munosu, C, Hankev, I, Hernandez-Arenasw, LA, Janik, M, Juhos, P, Libretti, L, Lucciarini, P, PaoloMacrı`, , Margaritora, S, RezaMahoozi, H, Nachira, D, Pardolesi, A, VadimPischik, Sagan, D, Schreurs, H, Sekhniaidze, D, Socci, L, Tosi, D, Turna, A, Vannucci, F, Rocco, MZAG & (ESTS), OBOTUVATSIGOTESOTS 2019, 'Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)', European Journal of Cardio-thoracic Surgery, vol. 56, n. 2, pagg. 224-229. https://doi.org/10.1093/ejcts/ezz133

Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). / Bertolaccini, Luca; Batirelb, Hasan; Brunelli, Alessandro et al.
In: European Journal of Cardio-thoracic Surgery, Vol. 56, N. 2, 2019, pag. 224-229.

Risultato della ricerca: Contributo in rivista › Articolo

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

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 -

Uniportal video-assisted thoracic surgery lobectomy: a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)

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