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Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery

OBJECTIVE: Single-stage sequential bilateral video-assisted thoracoscopic surgery (VATS) is a controversial procedure. In the present study, we retrospectively compared the outcomes of single-stage and two-stage VATS. METHODS: This study involved patients who underwent single-stage sequential bilate...

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Autores principales: Lan, Lan, Qiu, Yuan, Zhang, Canzhou, Ma, Tongtong, Cen, Yanyi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7653298/
https://www.ncbi.nlm.nih.gov/pubmed/33131358
http://dx.doi.org/10.1177/0300060520967558
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author Lan, Lan
Qiu, Yuan
Zhang, Canzhou
Ma, Tongtong
Cen, Yanyi
author_facet Lan, Lan
Qiu, Yuan
Zhang, Canzhou
Ma, Tongtong
Cen, Yanyi
author_sort Lan, Lan
collection PubMed
description OBJECTIVE: Single-stage sequential bilateral video-assisted thoracoscopic surgery (VATS) is a controversial procedure. In the present study, we retrospectively compared the outcomes of single-stage and two-stage VATS. METHODS: This study involved patients who underwent single-stage sequential bilateral VATS (SS-VATS group) or two-stage VATS at a 3-month interval (TS-VATS group) for treatment of non-small cell lung cancer from 2010 to 2018. The major outcome was the comparison of intraoperative changes. RESULTS: The inspiratory peak pressure was higher, the incidences of intraoperative hypoxia and unstable hemodynamics were higher, the surgical time was longer, and the durations of the intensive care unit stay and postoperative hospitalization were longer in the SS-VATS group than in the TS-VATS group. However, the chest tube duration, incidence of postoperative mechanical ventilation, and clinical complications were not different between the two groups. CONCLUSIONS: Compared with two-stage VATS, single-stage sequential bilateral VATS can be performed for successful treatment of bilateral pulmonary lesions with a shorter total time and higher cost-effectiveness in terms of anesthesia and hospitalization but with a higher incidence of intraoperative adverse effects and a longer hospital stay.
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spelling pubmed-76532982020-11-19 Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery Lan, Lan Qiu, Yuan Zhang, Canzhou Ma, Tongtong Cen, Yanyi J Int Med Res Retrospective Clinical Research Report OBJECTIVE: Single-stage sequential bilateral video-assisted thoracoscopic surgery (VATS) is a controversial procedure. In the present study, we retrospectively compared the outcomes of single-stage and two-stage VATS. METHODS: This study involved patients who underwent single-stage sequential bilateral VATS (SS-VATS group) or two-stage VATS at a 3-month interval (TS-VATS group) for treatment of non-small cell lung cancer from 2010 to 2018. The major outcome was the comparison of intraoperative changes. RESULTS: The inspiratory peak pressure was higher, the incidences of intraoperative hypoxia and unstable hemodynamics were higher, the surgical time was longer, and the durations of the intensive care unit stay and postoperative hospitalization were longer in the SS-VATS group than in the TS-VATS group. However, the chest tube duration, incidence of postoperative mechanical ventilation, and clinical complications were not different between the two groups. CONCLUSIONS: Compared with two-stage VATS, single-stage sequential bilateral VATS can be performed for successful treatment of bilateral pulmonary lesions with a shorter total time and higher cost-effectiveness in terms of anesthesia and hospitalization but with a higher incidence of intraoperative adverse effects and a longer hospital stay. SAGE Publications 2020-11-02 /pmc/articles/PMC7653298/ /pubmed/33131358 http://dx.doi.org/10.1177/0300060520967558 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Retrospective Clinical Research Report
Lan, Lan
Qiu, Yuan
Zhang, Canzhou
Ma, Tongtong
Cen, Yanyi
Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
title Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
title_full Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
title_fullStr Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
title_full_unstemmed Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
title_short Comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
title_sort comparison of single-stage and two-stage bilateral video-assisted thoracic surgery
topic Retrospective Clinical Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7653298/
https://www.ncbi.nlm.nih.gov/pubmed/33131358
http://dx.doi.org/10.1177/0300060520967558
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