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Journal of Cardiothoracic Surgery

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Open Access 01-12-2021 | Lung Cancer | Research article

Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules

Authors: Shengcheng Lin, Chenglin Yang, Xiaotong Guo, Yafei Xu, Lixu Wang, Zhe Wang, Xin Yu, Chunguang Wang, Zhentao Yu

Published in: Journal of Cardiothoracic Surgery | Issue 1/2021

Abstract

Background

Surgical resection is an appropriate treatment option for synchronous bilateral pulmonary nodules with ground-glass opacities. The applicability of simultaneous uniportal video-assisted thoracic surgery is not fully understood. We evaluated the feasibility and safety of performing such surgeries at our hospital.

Methods

Clinical data of 35 patients who underwent simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery at our hospital were reviewed retrospectively.

Results

Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery was performed for 35 patients (15 men, 20 women); 97 nodules were operated on, and the average nodule diameter was 11.4 mm (range, 1–38 mm). Computerized tomography showed that most nodules had ground-glass opacity (52/97, 53.6%); solid nodules (24/97, 24.7%) and nodules with mixed ground-glass opacity (21/97, 21.7%) were noted. Surgical resection included lobar-sublobar resection (11/35, 31.4%) and sublobar-sublobar resection (24/35, 68.6%). Wound infection and postoperative 30-day mortality were not observed. Pneumonia was the major postoperative complication, with a higher incidence in the lobar-sublobar group (6/10, 60%) than in the sublobar-sublobar group (4/25, 16%; P = 0.016). Pneumonia did not correlate with operative time (mean, 262.3 ± 108.1 vs. 261.9 ± 87.5 min, P = 0.991), duration of chest drainage (mean, 7.0 ± 4.0 vs 5.4 ± 2.1 days, P = 0.124), and postoperative hospital stay (mean, 10.2 ± 3.6 vs 10.2 ± 6.4 days, P = 0.978). The mean follow-up time was 8 (range, 3–22) months. Recurrence of primary lung cancer or mortality was not noted at the final follow-up.

Conclusions

Simultaneous bilateral pulmonary resection with uniportal video-assisted thoracic surgery is feasible and safe for appropriate patients. Simultaneous lobar-sublobar pulmonary resection for bilateral nodules can increase the risk of developing pneumonia.

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Title: Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
Authors: Shengcheng Lin
Chenglin Yang
Xiaotong Guo
Yafei Xu
Lixu Wang
Zhe Wang
Xin Yu
Chunguang Wang
Zhentao Yu
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Lung Cancer
Lung Cancer
Pulmonary Nodule
Pneumonia
Lung Cancer
Published in: Journal of Cardiothoracic Surgery / Issue 1/2021
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-021-01423-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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