Perioperative and early oncologic outcomes of complex segmentectomy via uniportal video-assisted thoracic surgery for primary lung cancer.
- 1Department of Thoracic and Pediatric Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
- 2Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General Hospital, Hamamatsu, Japan.
Abstract
Uniportal video-assisted thoracic surgery (U-VATS) has been increasingly adopted. However, evidence regarding the safety and oncologic outcomes of U-VATS complex segmentectomy remains limited. We aimed to evaluate the perioperative and early oncologic outcomes of U-VATS complex segmentectomy for primary lung cancer. We retrospectively reviewed patients who underwent U-VATS complex segmentectomy for primary lung cancer at our institution between December 2021 and November 2025. Patient characteristics, perioperative outcomes, and oncologic outcomes were evaluated. Eighty-two patients were enrolled. The median age of the patients was 72 years. The indication for segmentectomy was intentional in 61 patients (74.4%) and compromised in 21 patients (25.6%). The median operative time was 152 min and the median estimated blood loss was 6 mL. Conversion was required in 3 patients (3.7%). All conversions were performed in a controlled manner; no patients required emergency thoracotomy. Postoperative complications occurred in 4 patients (4.9%). There were no 30- or 90-day mortalities or readmissions within 30 days after surgery. R0 resection was achieved in all patients. The median follow-up duration was 10 months. No local recurrence was observed during the follow-up period. Distant recurrence occurred in 4 patients (4.9%). U-VATS complex segmentectomy for primary lung cancer was associated with postoperative complication and conversion rates consistent with those reported for other thoracoscopic approaches. These findings support the technical feasibility of U-VATS complex segmentectomy in appropriately selected patients when performed with meticulous preoperative planning and standardized intraoperative strategies.
Related
- Initial surgical results of subcostal uniportal robotic lung resection: a study of the perioperative outcomes and a CUSUM analysis of the learning curve
- Short-term outcomes of mini-thoracotomy, multiportal video-assisted thoracic surgery, and multiportal robot-assisted thoracic surgery for complex segmentectomy.
- Current Status, Clinical Outcomes and Socioeconomic Challenges of Uniportal Video-Assisted Thoracoscopic Surgery in Japan Compared with Robot-Assisted Thoracic Surgery: A Narrative Review
- Nodal evaluation as the arbiter of oncologic equivalence: reassessing segmentectomy after CALGB 140503 and JCOG0802
- Radiation-Associated Lung Adenosquamous Carcinoma Diagnosed by Robotic-Assisted Bronchoscopy With Cone-Beam CT Guidance and Treated With Robotic Superior Segmentectomy: A Case Report
BibTeX
@article{watanabe2026perioperative,
title = {{Perioperative and early oncologic outcomes of complex segmentectomy via uniportal video-assisted thoracic surgery for primary lung cancer.}},
author = {Takuya Watanabe and Eriko Suzuki and Naoko Yoshii and Takuya Kohama and Kensuke Iguchi and Masayuki Tanahashi and Katsuhiro Okuda},
journal = {Translational lung cancer research},
year = {2026},
month = sep,
doi = {10.21037/tlcr-2026-0949},
url = {https://europepmc.org/article/MED/42999409},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Perioperative and early oncologic outcomes of complex segmentectomy via uniportal video-assisted thoracic surgery for primary lung cancer.
AU - Takuya Watanabe
AU - Eriko Suzuki
AU - Naoko Yoshii
AU - Takuya Kohama
AU - Kensuke Iguchi
AU - Masayuki Tanahashi
AU - Katsuhiro Okuda
PY - 2026
DA - 2026/09/29
JO - Translational lung cancer research
DO - 10.21037/tlcr-2026-0949
UR - https://europepmc.org/article/MED/42999409
AB - Uniportal video-assisted thoracic surgery (U-VATS) has been increasingly adopted. However, evidence regarding the safety and oncologic outcomes of U-VATS complex segmentectomy remains limited. We aimed to evaluate the perioperative and early oncologic outcomes of U-VATS complex segmentectomy for primary lung cancer. We retrospectively reviewed patients who underwent U-VATS complex segmentectomy for primary lung cancer at our institution between December 2021 and November 2025. Patient characteristics, perioperative outcomes, and oncologic outcomes were evaluated. Eighty-two patients were enrolled. The median age of the patients was 72 years. The indication for segmentectomy was intentional in 61 patients (74.4%) and compromised in 21 patients (25.6%). The median operative time was 152 min and the median estimated blood loss was 6 mL. Conversion was required in 3 patients (3.7%). All conversions were performed in a controlled manner; no patients required emergency thoracotomy. Postoperative complications occurred in 4 patients (4.9%). There were no 30- or 90-day mortalities or readmissions within 30 days after surgery. R0 resection was achieved in all patients. The median follow-up duration was 10 months. No local recurrence was observed during the follow-up period. Distant recurrence occurred in 4 patients (4.9%). U-VATS complex segmentectomy for primary lung cancer was associated with postoperative complication and conversion rates consistent with those reported for other thoracoscopic approaches. These findings support the technical feasibility of U-VATS complex segmentectomy in appropriately selected patients when performed with meticulous preoperative planning and standardized intraoperative strategies.
SN - 2218-6751
SN - 2226-4477
ER -