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Abstract

Background

A meta-analysis was conducted to evaluate the impact of single-incision (SI) versus multiple-incision (MI) video-assisted thoracoscopic surgery (VATS) lobectomy on surgical site wound length (SSWL) and surgical site wound infection (SSWI) in lung cancer (LC) patients.

Methods

Inclusive literature research till March 2023 was done and 598 interconnected researches were revised. The 8 picked researches, enclosed 1542 LC persons were in the utilized researches' starting point, 310 of them were utilizing SI, and 232 were utilizing MI. Odds ratio (OR) and 95% confidence intervals (CIs) were utilized to appraise the effect of SI compared to MI VATS lobectomy for LC subjects on SSWL and SSWI by the dichotomous, or contentious approaches and a fixed or random model.

Results

SI had significantly lower SSWL (MD, -1.53; 95% CI, -2.63- -0.44, p=0.006) compared to MI in LC persons. However, no significant difference was found between SI and MI in LC persons in SSWI (OR, 0.59; 95% CI, 0.21-1.66, p=0.32).

Conclusion

SI had significantly lower SSWL, however, no significant difference was found in LC persons in SSWI compared to MI in LC persons. However, caution must be taken when interacting with its values since there was a low number of nominated research found for the comparisons in the meta-analysis.

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