Simultaneous Bilateral Pulmonary Resections by Uniportal Video-assisted Thoracic Surgery for Bilateral Multiple Pulmonary Nodules
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.2022.0617
- VernacularTitle:同期双侧单孔胸腔镜手术在双肺多发结节治疗中的应用
- Author:
Guang-wen XU
1
;
Ming-ran XIE
1
;
Gao-xiang WANG
1
;
Tian-ci ZHANG
1
;
Jie-yong TIAN
1
;
Tian LI
1
Author Information
1. Department of Thoracic Surgery， The First Affiliated Hospital of University of Science and Technology of China//Anhui Provincal Hospital， Hefei 230001， China
- Publication Type:Journal Article
- Keywords:
uniportal video-assisted thoracoscopic surgery;
simultaneous;
bilateral multiple pulmonary nodules;
multiple primary lung cancers
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2022;43(6):1012-1019
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the application of simultaneous bilateral uniportal video-assisted thoracic surgery in the treatment of bilateral multiple pulmonary nodules. MethodsThe clinical and pathological characteristics ， and perioperative data were analyzed in thoracic surgery from August 2021 to August 2021 at Department of Thoracic Surgery， the First Affiliated Hospital of University of Science and Technology of China. During the study period， 40 patients were included in the study， of which 12 were male， 28 were female， the average age was （52±8.8） ［52.5（47.25～58）］ years. ResultsA total of 107 nodules were resected， with 85 malignancy nodules， including 30 patients with bilateral primary lung cancer， 6 patients with primary lung cancer on one side. All patients underwent bilateral uniportal video-assisted thoracoscopic surgery （Uni-portal VATS）， the average intraoperative blood loss was （48.87±19.29） ［40（30～67.5）］ mL， the average operation time was （147.70±54.24） ［145（113.5～170）］ min， the average number of resected lymph nodes was （6.20±9.13） ［3（0～12）］，the average NRS score in the 1th postoperative day was （5.08±2.23）， the average pleural drainage was （375.95±243.69） ［292.5（215.0～517.5）］ mL. the average thoracic drainage time was（3.38±1.49） ［3（3～4）］ days， and the average postoperative hospital stay was （4.08±1.81） ［4（3～5）］ days. Postoperative complications including： 2 cases of infection， 3 cases of atrial fibrillation， 1 case of hemoptysis for more than 1 week and 1case of persistent air leakage for more than 3 days. All of them improved after treatment， and there were no serious complications and deaths in perioperative period. ConclusionSimultaneous bilateral pulmonary resections via uniportal VATS is a safe and feasible minimally invasive procedure for patients with bilateral multiple pulmonary nodules.
