Single-stage bilateral pulmonary resections by video-assisted thoracic surgery for multiple small nodules
- VernacularTitle:胸腔镜下双肺多发结节同期手术治疗
- Author:
Lianyong JIANG
1
;
Xiao XIE
1
;
Fengqing HU
1
;
Lei WANG
1
;
Rui HU
1
;
Haibo XIAO
1
;
Mingsong WANG
1
;
Guoqing LI
1
;
Ju MEI
1
Author Information
- Publication Type:Journal Article
- Keywords: Multiple nodules; bilateral; single-stage; video-assisted thoracic surgery (VATS)
- From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2018;25(9):750-754
- CountryChina
- Language:Chinese
- Abstract: Objective To share the experience of single-stage bilateral pulmonary resections by video-assisted thoracic surgery (VATS) for multiple nodules. Methods Clinical records of patients undergoing one-stage bilateral resections of multiple pulmonary nodules between January 2015 and December 2016 in our institution were retrospectively reviewed and analyzed. There were 9 males and 15 females, aged from 33 to 69 (55.0±8.0) years. Two patients underwent bilateral lobectomy. Lobar-sublobar (L/SL) resection and bilateral sublobar resection (SL-SL) were conducted in 9 patients and 13 patients respectively. Results All operations completed successfully. Operation time was 135–330 (231.4±59.1) min, duration of use of chest drains was 2–17 (5.4±3.1) days. Overall duration of hospitalization after surgery was 5–37 (8.6±6.3) days. There was no perioperative death. Postoperative course was uneventful in 17 (70.8%) patients. The postoperative complications included one patient of incision infection and one patient of pulmonary infection. Persistent air leak for >3 days duration and unilateral pleural drainage for more than 200 ml/d were observed in 3 patients and 2 patients respectively. Conclusion Single-stage bilateral surgery in selected patients with synchronous bilateral multiple nodules is feasible and associated with satisfactory outcomes.
