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

Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS), Luca Bertolaccini, Hasan Batirel, Alessandro Brunelli, Diego Gonzalez-Rivas, 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 Nadal, Jury Brandolini, Pierfilippo Crucitti, Attila Enyedi, Hiran C. Fernando, Jozsef Furak, Javier Gallego-PovedaCarlos Galvez-Munos, Ivo Hanke, Miroslav Janik, Peter Juhos, Lidia Libretti, Paolo Lucciarini, Paolo Macrì, Stefano Margaritora, Hamid Reza Mahoozi, Dania Nachira, Alessandro Pardolesi, Vadim Pischik, Dariusz Sagan, Hermien Schreurs, Dmitrii Sekhniaidze, Davide Tosi, Akif Turna, Fernando Vannucci, Marcin Zielinski, Gaetano Rocco

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: Our goal was to report the results of the first consensus paper among international experts in uniportal video-assisted thoracoscopic surgery (UniVATS) lobectomy obtained through a Delphi process, the objective of which was to define and standardize the main procedural steps, optimize its indications and perioperative management and identify elements to assist in future training. METHODS: The 40 members of the working group were convened and organized on a voluntary basis by the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS). An e-consensus finding exercise using the Delphi method was applied to require 75% agreement for reaching consensus on each question. Repeated iterations of anonymous voting continued for 3 rounds. RESULTS: Overall, 31 international experts from 18 countries completed all 3 rounds of questionnaires. Although a technical quorum was not achieved, most of the responders agreed that the maximum size of a UniVATS incision should be ≤4 cm. Agreement was reached on many points outlining the currently accepted definition of a UniVATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSIONS: The UVIG Consensus Report stated that UniVATS offers a valid alternative to standard VATS techniques. Only longer follow-up and randomized controlled studies will predict whether UniVATS represents a valid alternative approach to multiport VATS for major lung resections or whether it should be performed only in selected cases and by selected centres. The next step for the ESTS UVIG is the establishment of a UniVATS section inside the ESTS databases.

Original languageEnglish
Pages (from-to)224-229
Number of pages6
JournalEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Volume56
Issue number2
DOIs
Publication statusPublished - Aug 1 2019

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Keywords

  • Consensus
  • Delphi approach
  • Lung cancer
  • Single site incision
  • Uniportal video-assisted thoracoscopic surgery

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS), Bertolaccini, L., Batirel, H., Brunelli, A., Gonzalez-Rivas, D., Ismail, M., Ucar, A. M., Ng, C. S. H., Scarci, M., Sihoe, A. D. L., Ugalde, P. A., Abu Akar, F., Bedetti, B., Nadal, S. B., Brandolini, J., Crucitti, P., Enyedi, A., Fernando, H. C., Furak, J., ... Rocco, G. (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 : official journal of the European Association for Cardio-thoracic Surgery, 56(2), 224-229. https://doi.org/10.1093/ejcts/ezz133