To retrospectively analyze the patients who underwent uniportal thoracoscopic right upper lobectomy using double-stapling vs traditional technique at Anning First People's Hospital Affiliated to Kunming University of Science and Technology. Compare the differences between the double-stapling technique and traditional technique in the application of uniportal thoracoscopic right upper lobe resection, summarize the key points of the double-stapling surgical technique, and explore the surgical results and promotional value.

Forty-nine patients from July 2021 to May 2023 were consecutively enrolled at Anning First People's Hospital. A total of 22 patients underwent uniportal thoracoscopic two-stapler resection of the right upper lobe. A total of 27 patients underwent uniportal thoracoscopic right upper lobectomy using traditional methods. The outcome measures were operative time, intraoperative bleeding, drainage tube duration and postoperative hospital stay.

For the double-stapling technique group, 22 patients (16 males, 6 females) were enrolled. The median age was (58.00±9.38) years old. There were no cases converted to thoracotomy. The mean operative duration was (84.86±15.81) min, the mean intraoperative blood loss was (73.86±21.98) mL, the mean drainage tube duration was 2.00 (1.00, 2.00) days, and the mean postoperative hospital stay was 5.00 (4.75, 6.00) days. For the traditional technique group, 27 patients (13 males, 14 females) were enrolled. The median age was (58.46±8.63) years old. The mean operative duration was (93.55±13.43) min, the mean intraoperative blood loss was (85.34±20.22) mL, the mean drainage tube duration was 2.00 (1.00, 3.00) days, and the mean postoperative hospital stay was 5.00 (4.50, 6.00) days. The shorter surgical operative time for the double-stapling technique was statistically significant (P<0.05) .

Compared to traditional techniques, uniportal thoracoscopic double-stapling technique for right upper lobectomy has a shorter operative time while also achieving a curative effect. The operative process is simple, easy to perform, safe, reliable, and benefits patients while reducing their economic burden.