Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach

Abstract Multiportal video-assisted thoracic surgery (VATS) for major lung resection causes less immunochemokine production compared to thoracotomy. Whether uniportal VATS is similarly associated with lower early postoperative circulating levels of immunochemokines compared to multiportal VATS have...

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Autores principales: Peter S. Y. Yu, Kin Wai Chan, Rainbow W. H. Lau, Innes Y. P. Wan, George G. Chen, Calvin S. H. Ng
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/7330289d71f84833be0351e0dd0aec20
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spelling oai:doaj.org-article:7330289d71f84833be0351e0dd0aec202021-12-02T17:16:05ZUniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach10.1038/s41598-021-89598-22045-2322https://doaj.org/article/7330289d71f84833be0351e0dd0aec202021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89598-2https://doaj.org/toc/2045-2322Abstract Multiportal video-assisted thoracic surgery (VATS) for major lung resection causes less immunochemokine production compared to thoracotomy. Whether uniportal VATS is similarly associated with lower early postoperative circulating levels of immunochemokines compared to multiportal VATS have not been studied. Selected patients who received uniportal or multiportal VATS major lung resection were recruited. Blood samples were collected preoperatively and on postoperative days 1 and 3 for enzyme linked immunosorbent assay of serum levels of Tissue Inhibitor of Metalloproteinase (TIMP)-1, Insulin Growth Factor Binding Protein (IGFBP)-3, and Matrix Metalloproteinase (MMP)-9. A linear mixed-effects models were used to analyze the effects of uniportal VATS on the postoperative circulating chemokine levels. From March 2014 to April 2017, 68 consecutive patients consented for the prospective study and received major lung resection by either uniportal VATS (N = 29) or multiportal VATS (N = 39) were identified. Uniportal VATS major lung resection was associated with lower post-operative levels of TIMP-1 and MMP-9 compared to multiportal VATS after controlling for the effects of the corresponding baseline level and the time of follow-up measurement. No difference was observed for the level of IGFBP-3. Less immunochemokine disturbances was observed after uniportal VATS major lung resection compared to multiportal VATS.Peter S. Y. YuKin Wai ChanRainbow W. H. LauInnes Y. P. WanGeorge G. ChenCalvin S. H. NgNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Peter S. Y. Yu
Kin Wai Chan
Rainbow W. H. Lau
Innes Y. P. Wan
George G. Chen
Calvin S. H. Ng
Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
description Abstract Multiportal video-assisted thoracic surgery (VATS) for major lung resection causes less immunochemokine production compared to thoracotomy. Whether uniportal VATS is similarly associated with lower early postoperative circulating levels of immunochemokines compared to multiportal VATS have not been studied. Selected patients who received uniportal or multiportal VATS major lung resection were recruited. Blood samples were collected preoperatively and on postoperative days 1 and 3 for enzyme linked immunosorbent assay of serum levels of Tissue Inhibitor of Metalloproteinase (TIMP)-1, Insulin Growth Factor Binding Protein (IGFBP)-3, and Matrix Metalloproteinase (MMP)-9. A linear mixed-effects models were used to analyze the effects of uniportal VATS on the postoperative circulating chemokine levels. From March 2014 to April 2017, 68 consecutive patients consented for the prospective study and received major lung resection by either uniportal VATS (N = 29) or multiportal VATS (N = 39) were identified. Uniportal VATS major lung resection was associated with lower post-operative levels of TIMP-1 and MMP-9 compared to multiportal VATS after controlling for the effects of the corresponding baseline level and the time of follow-up measurement. No difference was observed for the level of IGFBP-3. Less immunochemokine disturbances was observed after uniportal VATS major lung resection compared to multiportal VATS.
format article
author Peter S. Y. Yu
Kin Wai Chan
Rainbow W. H. Lau
Innes Y. P. Wan
George G. Chen
Calvin S. H. Ng
author_facet Peter S. Y. Yu
Kin Wai Chan
Rainbow W. H. Lau
Innes Y. P. Wan
George G. Chen
Calvin S. H. Ng
author_sort Peter S. Y. Yu
title Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
title_short Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
title_full Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
title_fullStr Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
title_full_unstemmed Uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
title_sort uniportal video-assisted thoracic surgery for major lung resection is associated with less immunochemokine disturbances than multiportal approach
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/7330289d71f84833be0351e0dd0aec20
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AT calvinshng uniportalvideoassistedthoracicsurgeryformajorlungresectionisassociatedwithlessimmunochemokinedisturbancesthanmultiportalapproach
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