Original Article

Uniportal versus three-port video-assisted thoracoscopic surgery for spontaneous pneumothorax: a meta-analysis Shi-Lei Qin1, Jin-Bo Huang2, Yan-Long Yang1, Lei Xian1 1

Department of Cardiothoracic Surgery, the First Affiliated Hospital of GuangXi Medical University, Nanning 530021, China; 2Class 3 in Grade

2009 of GuangXi Medical University, Nanning 530021, China Contributions: (I) Conception and design: SL Qin, L Xian; (II) Administrative support: None; (III) Provision of study materials or patients: L Xian; (IV) Collection and assembly of data: SL Qin, JB Huang, L Xian; (V) Data analysis and interpretation: SL Qin, JB Huang, YL Yang; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Lei Xian, MD. Department of Cardiothoracic Surgery, the First Affiliated Hospital of GuangXi Medical University, Nanning 530021, China. Email: [email protected].

Background: Whether or not uniportal video-assisted thoracoscopic surgery (VATS) is beneficial for spontaneous pneumothorax remains inconclusive. This meta-analysis aimed to summarize the available evidence to assess the feasibility and advantages of uniportal VATS for the treatment of spontaneous pneumothorax compared with three-port VATS. Methods: Eligible publications were identified by searching the Cochrane Library, PubMed, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang Data databases and CQVIP. Odds ratios (OR) and standardized mean differences (SMD) with 95% confidence intervals (CI) were calculated to compare dichotomous and continuous variables, respectively. Results: This meta-analysis was based on 17 studies and included a total of 988 patients with spontaneous pneumothorax. No death was reported during the perioperative period. Compared with three-port VATS groups, there was a statistically significant difference in uniportal VATS groups regarding postoperative hospital stay (SMD= −0.58; 95% CI: −1.04 to −0.12; P=0.01), paresthesia (OR=0.13; 95% CI: 0.07 to 0.24; P

Uniportal versus three-port video-assisted thoracoscopic surgery for spontaneous pneumothorax: a meta-analysis.

Whether or not uniportal video-assisted thoracoscopic surgery (VATS) is beneficial for spontaneous pneumothorax remains inconclusive. This meta-analys...
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