{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:01:59Z","timestamp":1787169719876,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Uniportal thoracoscopic surgery has become widely accepted for its favourable outcomes with regard to pain. However, post-operative pain is still a concern associated with thoracic surgery. The objective of this study was to evaluate the post-operative pain of patients undergoing uniportal video-assisted thoracoscopic surgery (VATS) lobectomies using an intra-operative intercostal nerve block.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All consecutive patients undergoing uniportal VATS lobectomies between October 2018 and October 2019 were reviewed retrospectively. Twenty consecutive patients in Group A underwent uniportal VATS lobectomies without intra-operative intercostal nerve blocks. The other 20 consecutive patients in Group B underwent uniportal VATS lobectomies with intra-operative intercostal nerve blocks. Numeric Pain Rating Scale (NRS) scores were recorded at 1, 12 and 24 h postoperatively. The number of anti-inflammatory drugs (non-steroidal anti-inflammatory drug [NSAIDs]) consumed until the time of chest tube removal was also recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      There was no difference between the groups with regard to sex, age, chest tube duration, length of stay, operative time or laterality. There was a significant difference in post-operative NRS scores at 1 h (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and 12 h (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.014) between the groups. The NSAID consumption was significantly lower in Group B than in Group A (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.038).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Intra-operative intercostal nerve blocks with bupivacaine provided immediate post-operative pain relief and reduced post-operative opioid consumption in patients who underwent uniportal VATS lobectomies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_261_21","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T12:16:21Z","timestamp":1646136981000},"page":"567-570","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["The feasibility of thoracoscopic-guided intercostal nerve block during uniportal video-assisted thoracoscopic lobectomy of the lung"],"prefix":"10.4103","volume":"18","author":[{"given":"Do Kyun","family":"Kang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min Kyun","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heo","family":"Woon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youn-Ho","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240828","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/S0003-4975(01)02804-1","article-title":"Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: A comparison of VATS and conventional procedure","volume":"72","author":"Nagahiro","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"R2-12-20240828","doi-asserted-by":"crossref","first-page":"234S","DOI":"10.1378\/chest.07-1378","article-title":"Treatment of non-small cell lung cancer stage I and stage II: ACCP evidence-based clinical practice guidelines (2nd edition)","volume":"132","author":"Scott","year":"2007","journal-title":"Chest"},{"key":"R4-12-20240828","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/S0003-4975(03)01219-0","article-title":"Uniportal VATS wedge pulmonary resections","volume":"77","author":"Rocco","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"R5-12-20240828","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/j.athoracsur.2012.10.070","article-title":"Uniportal video-assisted thoracoscopic lobectomy: Two years of experience","volume":"95","author":"Gonzalez-Rivas","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"R6-12-20240828","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1093\/icvts\/ivu391","article-title":"Is uniport thoracoscopic surgery less painful than multiple port approaches?","volume":"20","author":"Young","year":"2015","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"R7-12-20240828","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/0003-4975(93)90933-9","article-title":"Pain management principles and anesthesia techniques for thoracoscopy","volume":"56","author":"Mulder","year":"1993","journal-title":"Ann Thorac Surg"},{"key":"R8-12-20240828","doi-asserted-by":"crossref","first-page":"1872","DOI":"10.1016\/S0003-4975(00)01757-4","article-title":"The efficacy of intraoperative internal intercostal nerve block during video-assisted thoracic surgery on postoperative pain","volume":"70","author":"Bolotin","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"R9-12-20240828","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/S0003-4975(99)80014-9","article-title":"Thoracoscopic intercostal nerve blocks","volume":"59","author":"Temes","year":"1995","journal-title":"Ann Thorac Surg"},{"key":"R10-12-20240828","doi-asserted-by":"crossref","first-page":"3563","DOI":"10.21037\/jtd.2016.12.30","article-title":"Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection","volume":"8","author":"Hsieh","year":"2016","journal-title":"J Thorac Dis"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_261_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:11:40Z","timestamp":1787166700000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_261_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_261_21","relation":{},"ISSN":["0972-9941"],"issn-type":[{"value":"0972-9941","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}