TY - JOUR
T1 - Uniportal video-assisted thoracic surgery lobectomy
T2 - a consensus report from the Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)
AU - Uniportal VATS Interest Group (UVIG) of the European Society of Thoracic Surgeons (ESTS)
AU - Bertolaccini, Luca
AU - Batirel, Hasan
AU - Brunelli, Alessandro
AU - Gonzalez-Rivas, 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 - Abu Akar, Firas
AU - Bedetti, Benedetta
AU - Nadal, Sergio Bolufer
AU - Brandolini, Jury
AU - Crucitti, Pierfilippo
AU - Enyedi, Attila
AU - Fernando, Hiran C.
AU - Furak, Jozsef
AU - Gallego-Poveda, Javier
AU - Galvez-Munos, Carlos
AU - Hanke, Ivo
AU - Janik, Miroslav
AU - Juhos, Peter
AU - Libretti, Lidia
AU - Lucciarini, Paolo
AU - Macrì, Paolo
AU - Margaritora, Stefano
AU - Mahoozi, Hamid Reza
AU - Nachira, Dania
AU - Pardolesi, Alessandro
AU - Pischik, Vadim
AU - Sagan, Dariusz
AU - Schreurs, Hermien
AU - Sekhniaidze, Dmitrii
AU - Tosi, Davide
AU - Turna, Akif
AU - Vannucci, Fernando
AU - Zielinski, Marcin
AU - Rocco, Gaetano
PY - 2019/8/1
Y1 - 2019/8/1
N2 - 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.
AB - 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.
KW - Consensus
KW - Delphi approach
KW - Lung cancer
KW - Single site incision
KW - Uniportal video-assisted thoracoscopic surgery
UR - http://www.scopus.com/inward/record.url?scp=85070181326&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070181326&partnerID=8YFLogxK
U2 - 10.1093/ejcts/ezz133
DO - 10.1093/ejcts/ezz133
M3 - Article
C2 - 31056711
AN - SCOPUS:85070181326
VL - 56
SP - 224
EP - 229
JO - European Journal of Cardio-thoracic Surgery
JF - European Journal of Cardio-thoracic Surgery
SN - 1010-7940
IS - 2
ER -