Yixiang Zhang1, Yuexin Wang2, Changsheng Lv1, Xin Shu3, Jinguang Wang1, Qingkai Yang4. 1. Department of Thoracic Surgery, The First Affiliated Hospital of Dalian Medicine University, Dalian 116000, China. 2. Department of Operating Room, The First Affiliated Hospital of Dalian Medicine University, Dalian 116000, China. 3. Department of Thoracic Surgery, The Third Affiliated Hospital of Dalian Medicine University, Dalian 116000, China. 4. Department of Cancer Stem Cell, Dalian Medicine University, Dalian 116000, China.
Abstract
BACKGROUND: Bilateral synchronous multiple primary lung adenocarcinoma (BSMPLA) is a rapidly increasing disease for which timely and accurate treatment is required. We describe our experience which we hope to establish optimal therapeutic options for patients with BSMPLA. METHODS: This study aimed to explore the feasibility and safety of simultaneous bilateral video-assisted thoracoscopic surgery (VATS) in 56 patients who received histological diagnoses of BSMPLA at our hospital between January 2016 and January 2018. In this retrospective analysis of clinical outcomes, we observed no serious postoperative complications or perioperative death. RESULTS: Four and 28 patients respectively underwent bilateral lobectomy and lobectomy with contralateral sublobar resection, whereas the remaining 24 patients underwent bilateral sublobar resection. Sublobar resection means anatomical segmentectomy or wedge resection. The mean postoperative hospital stay duration was 5.39±2.67 days. Postoperative complications comprising persistent air leakage for more than 5 days was observed in 8 (14.2%) of 56 patients. No severe postoperative complications or deaths occurred. CONCLUSIONS: Our results suggest that simultaneous bilateral VATS is feasible, safe, and reproducible. This therapeutic strategy appears to confer considerable benefits on patients with BSMPLA.
BACKGROUND: Bilateral synchronous multiple primary lung adenocarcinoma (BSMPLA) is a rapidly increasing disease for which timely and accurate treatment is required. We describe our experience which we hope to establish optimal therapeutic options for patients with BSMPLA. METHODS: This study aimed to explore the feasibility and safety of simultaneous bilateral video-assisted thoracoscopic surgery (VATS) in 56 patients who received histological diagnoses of BSMPLA at our hospital between January 2016 and January 2018. In this retrospective analysis of clinical outcomes, we observed no serious postoperative complications or perioperative death. RESULTS: Four and 28 patients respectively underwent bilateral lobectomy and lobectomy with contralateral sublobar resection, whereas the remaining 24 patients underwent bilateral sublobar resection. Sublobar resection means anatomical segmentectomy or wedge resection. The mean postoperative hospital stay duration was 5.39±2.67 days. Postoperative complications comprising persistent air leakage for more than 5 days was observed in 8 (14.2%) of 56 patients. No severe postoperative complications or deaths occurred. CONCLUSIONS: Our results suggest that simultaneous bilateral VATS is feasible, safe, and reproducible. This therapeutic strategy appears to confer considerable benefits on patients with BSMPLA.
Authors: Delphine Trousse; Fabrice Barlesi; Anderson Loundou; Anne Marie Tasei; Christophe Doddoli; Roger Giudicelli; Philippe Astoul; Pierre Fuentes; Pascal Thomas Journal: J Thorac Cardiovasc Surg Date: 2007-05 Impact factor: 5.209
Authors: Celalettin Ibrahim Kocaturk; Mehmet Zeki Gunluoglu; Levent Cansever; Adalet Demir; Ulas Cinar; Seyyit Ibrahim Dincer; Mehmet Ali Bedirhan Journal: Eur J Cardiothorac Surg Date: 2010-07-21 Impact factor: 4.191