2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.07A.08 Modified Periareolar Incision for Uniportal Segmentectomy

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This study explores a modified periareolar incision for uniportal video-assisted thoracoscopic surgery (VATS) segmentectomy in non-small cell lung cancer (NSCLC) patients. Typical challenges with VATS include balancing minimally invasive procedures while avoiding damage to important physiological structures like the mammary gland, especially in female patients. The study involved 18 patients, with 10 females and 8 males, undergoing this procedure with a mean age of 53.22 years.<br /><br />During the surgery, an innovative curved incision was made at the lateral areola. The incision technique allows access to necessary areas without impacting the breast tissue, making it suitable for both male and female patients. The procedure included mobilizing subcutaneous tissue to the 4th intercostal space and inserting a wound protector via a subcutaneous tunnel for surgical access. This not only preserved the integrity of the mammary gland but also led to satisfactory aesthetic outcomes with low postoperative pain, as per patients' self-reports.<br /><br />Results indicated effective surgical performance with an average hospital stay after surgery of 3.06 days and a relatively low postoperative pain score. Most patients experienced no complications, while a few reported pleural effusion or subcutaneous emphysema, all of which resolved in time. Scar evaluations and changes in nipple sensitivity were minor, with scars being minimally apparent as evaluated by both patients and observers.<br /><br />The study challenges the previous notion that periareolar incisions are unsuitable for women, presenting it as a viable minimally invasive approach for early-stage lung cancer patients. The findings endorse the modified periareolar incision as a novel, efficient method for performing uniportal VATS segmentectomy, with potential to become a standardized procedure in thoracic surgeries.

Asset Subtitle

Bin Zheng

Meta Tag

Speaker Bin Zheng

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

periareolar incision

uniportal VATS

thoracoscopic surgery

non-small cell lung cancer

NSCLC

minimally invasive

mammary gland preservation

aesthetic outcomes

postoperative pain

thoracic surgeries