Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients
Abstract To assess the clinical benefits of a 5th versus 4th intercostal incision in female patients undergoing uniportal video-assisted thoracoscopic surgery (VATS) lobectomy and lymphadenectomy, focusing on breast tissue preservation, pain, cosmetic outcomes, recovery, and surgical maneuverability...
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Nature Portfolio
2025-02-01
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| Online Access: | https://doi.org/10.1038/s41598-025-88797-5 |
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| author | Dalin Wang Zhilin Luo Jia Ming |
| author_facet | Dalin Wang Zhilin Luo Jia Ming |
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| description | Abstract To assess the clinical benefits of a 5th versus 4th intercostal incision in female patients undergoing uniportal video-assisted thoracoscopic surgery (VATS) lobectomy and lymphadenectomy, focusing on breast tissue preservation, pain, cosmetic outcomes, recovery, and surgical maneuverability. A retrospective analysis of 150 female lung cancer patients was conducted, divided into 4 and 5th intercostal incision groups (n = 75 each). Propensity score matching balanced baseline characteristics. Primary outcomes included breast tissue involvement, postoperative pain (VAS), cosmetic satisfaction (Likert scale), recovery time, surgical maneuverability, and complication rates. Statistical analysis used Mann-Whitney U and Chi-square tests for group comparisons and multivariable regression to adjust for confounders. The 5th intercostal incision significantly reduced breast tissue involvement (10.7 vs. 65.3%, p < 0.01), postoperative pain (VAS: 4.8 vs. 7.2, p < 0.01), and recovery time (5.9 vs. 8.4 days, p < 0.05), while enhancing cosmetic satisfaction (p < 0.01) and improving access to upper pulmonary veins. Incision site infections were notably lower in the 5th intercostal group (2.7 vs. 10.7%, p < 0.05). The 5th intercostal incision provides substantial clinical advantages in uniportal VATS for female patients, including reduced breast tissue involvement, minimized pain, enhanced cosmetic outcomes, and faster recovery. These findings support the 5th intercostal incision as a preferred approach in this patient population, aligning with precision surgery principles to optimize outcomes. |
| format | Article |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-02-01 |
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| spelling | doaj-art-1f909e927f2e4b2faafc4078021676d72025-02-09T12:34:31ZengNature PortfolioScientific Reports2045-23222025-02-011511810.1038/s41598-025-88797-5Clinical benefits of the 5th intercostal incision in uniportal VATS for female patientsDalin Wang0Zhilin Luo1Jia Ming2Department of Breast and Thyroid Surgery, The Second Affiliated Hospital of Chongqing Medical UniversityDepartment of Thoracic Surgery, The Third Affiliated Hospital of Chongqing Medical UniversityDepartment of Breast and Thyroid Surgery, The Second Affiliated Hospital of Chongqing Medical UniversityAbstract To assess the clinical benefits of a 5th versus 4th intercostal incision in female patients undergoing uniportal video-assisted thoracoscopic surgery (VATS) lobectomy and lymphadenectomy, focusing on breast tissue preservation, pain, cosmetic outcomes, recovery, and surgical maneuverability. A retrospective analysis of 150 female lung cancer patients was conducted, divided into 4 and 5th intercostal incision groups (n = 75 each). Propensity score matching balanced baseline characteristics. Primary outcomes included breast tissue involvement, postoperative pain (VAS), cosmetic satisfaction (Likert scale), recovery time, surgical maneuverability, and complication rates. Statistical analysis used Mann-Whitney U and Chi-square tests for group comparisons and multivariable regression to adjust for confounders. The 5th intercostal incision significantly reduced breast tissue involvement (10.7 vs. 65.3%, p < 0.01), postoperative pain (VAS: 4.8 vs. 7.2, p < 0.01), and recovery time (5.9 vs. 8.4 days, p < 0.05), while enhancing cosmetic satisfaction (p < 0.01) and improving access to upper pulmonary veins. Incision site infections were notably lower in the 5th intercostal group (2.7 vs. 10.7%, p < 0.05). The 5th intercostal incision provides substantial clinical advantages in uniportal VATS for female patients, including reduced breast tissue involvement, minimized pain, enhanced cosmetic outcomes, and faster recovery. These findings support the 5th intercostal incision as a preferred approach in this patient population, aligning with precision surgery principles to optimize outcomes.https://doi.org/10.1038/s41598-025-88797-5Uniportal VATS5th intercostal incisionBreast tissue preservationPostoperative pain |
| spellingShingle | Dalin Wang Zhilin Luo Jia Ming Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients Scientific Reports Uniportal VATS 5th intercostal incision Breast tissue preservation Postoperative pain |
| title | Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients |
| title_full | Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients |
| title_fullStr | Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients |
| title_full_unstemmed | Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients |
| title_short | Clinical benefits of the 5th intercostal incision in uniportal VATS for female patients |
| title_sort | clinical benefits of the 5th intercostal incision in uniportal vats for female patients |
| topic | Uniportal VATS 5th intercostal incision Breast tissue preservation Postoperative pain |
| url | https://doi.org/10.1038/s41598-025-88797-5 |
| work_keys_str_mv | AT dalinwang clinicalbenefitsofthe5thintercostalincisioninuniportalvatsforfemalepatients AT zhilinluo clinicalbenefitsofthe5thintercostalincisioninuniportalvatsforfemalepatients AT jiaming clinicalbenefitsofthe5thintercostalincisioninuniportalvatsforfemalepatients |