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Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules

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 s...

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Autores principales: Lin, Shengcheng, Yang, Chenglin, Guo, Xiaotong, Xu, Yafei, Wang, Lixu, Wang, Zhe, Yu, Xin, Wang, Chunguang, Yu, Zhentao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983262/
https://www.ncbi.nlm.nih.gov/pubmed/33752719
http://dx.doi.org/10.1186/s13019-021-01423-z
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author Lin, Shengcheng
Yang, Chenglin
Guo, Xiaotong
Xu, Yafei
Wang, Lixu
Wang, Zhe
Yu, Xin
Wang, Chunguang
Yu, Zhentao
author_facet Lin, Shengcheng
Yang, Chenglin
Guo, Xiaotong
Xu, Yafei
Wang, Lixu
Wang, Zhe
Yu, Xin
Wang, Chunguang
Yu, Zhentao
author_sort Lin, Shengcheng
collection PubMed
description 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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spelling pubmed-79832622021-03-22 Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules Lin, Shengcheng Yang, Chenglin Guo, Xiaotong Xu, Yafei Wang, Lixu Wang, Zhe Yu, Xin Wang, Chunguang Yu, Zhentao J Cardiothorac Surg Research Article 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. BioMed Central 2021-03-22 /pmc/articles/PMC7983262/ /pubmed/33752719 http://dx.doi.org/10.1186/s13019-021-01423-z Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Lin, Shengcheng
Yang, Chenglin
Guo, Xiaotong
Xu, Yafei
Wang, Lixu
Wang, Zhe
Yu, Xin
Wang, Chunguang
Yu, Zhentao
Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
title Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
title_full Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
title_fullStr Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
title_full_unstemmed Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
title_short Simultaneous Uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
title_sort simultaneous uniportal video-assisted thoracic surgery of bilateral pulmonary nodules
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7983262/
https://www.ncbi.nlm.nih.gov/pubmed/33752719
http://dx.doi.org/10.1186/s13019-021-01423-z
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