The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions
BackgroundThe aim of this study was to evaluate the feasibility and safety of simultaneous bilateral video-assisted thoracic surgery (VATS) for the treatment of bilateral pulmonary lesions.MethodsThe data of 11 patients who received simultaneous bilateral pulmonary surgery using VATS in the Departme...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-11-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.975259/full |
| _version_ | 1828193843669893120 |
|---|---|
| author | Xiandong Tao Jiannan Zhao Wei Wei Zhengxiang Shan Hongyang Zheng Tiewen Pan |
| author_facet | Xiandong Tao Jiannan Zhao Wei Wei Zhengxiang Shan Hongyang Zheng Tiewen Pan |
| author_sort | Xiandong Tao |
| collection | DOAJ |
| description | BackgroundThe aim of this study was to evaluate the feasibility and safety of simultaneous bilateral video-assisted thoracic surgery (VATS) for the treatment of bilateral pulmonary lesions.MethodsThe data of 11 patients who received simultaneous bilateral pulmonary surgery using VATS in the Department of Thoracic Surgery of The Third Affiliated Hospital of Naval Medical University between January 2016 and August 2021 were retrospectively analyzed.ResultsThe cases of four male and seven female patients, with a mean age of 57.54 ± 8.37 years (range, 44-67 years), were reviewed. Nonanatomic wedge resection, pulmonary segmentectomy or lobectomy via VATS were performed depending on each patient’s situation. Mean 1 second forced expiratory volume (FEV1) was 2.55 ± 0.66 L(range, 1.49-3.88 L), mean intraoperative bleeding volume was 91.81 ± 49.56 mL(range, 30-150 mL), mean operating time was 273.72 ± 68.98 min(range, 132-390 min), and mean drainage duration was 5.27 ± 3.60 days(range, 2-14 days), with a mean total drainage volume of 1,515.90 ± 772.75 mL(range, 530-3,225 mL). Only one postoperative complication (air leakage) occurred, with an overall complication rate of 9.09%. The mean postoperative hospital stay was 8.81 ± 3.60 days (range, 5-18 days), and the mean total cost of hospitalization was 67,054.53 ± 20,896.49 RMB (range, 47,578.45-123,530.8 RMB).ConclusionsSimultaneous bilateral pulmonary surgery using VATS for the treatment of bilateral pulmonary lesions is safe and feasible and can therefore be considered after strict preoperative evaluation of the patient. |
| first_indexed | 2024-04-12T09:15:28Z |
| format | Article |
| id | doaj.art-e8b52faeb1634186a081b4b3f49f4c1d |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-12T09:15:28Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-e8b52faeb1634186a081b4b3f49f4c1d2022-12-22T03:38:52ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.975259975259The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesionsXiandong Tao0Jiannan Zhao1Wei Wei2Zhengxiang Shan3Hongyang Zheng4Tiewen Pan5Department of Thoracic Surgery, Third Affiliated Hospital, Navy Medical University (Second Military Medical University), Shanghai, ChinaDepartment of Hepatobiliary Surgery, Third Affiliated Hospital, Navy Medical University (Second Military Medical University), Shanghai, ChinaDepartment of Thoracic Surgery, Third Affiliated Hospital, Navy Medical University (Second Military Medical University), Shanghai, ChinaDepartment of Thoracic Surgery, Third Affiliated Hospital, Navy Medical University (Second Military Medical University), Shanghai, ChinaDepartment of Thoracic Surgery, Third Affiliated Hospital, Navy Medical University (Second Military Medical University), Shanghai, ChinaDepartment of Thoracic Surgery, Third Affiliated Hospital, Navy Medical University (Second Military Medical University), Shanghai, ChinaBackgroundThe aim of this study was to evaluate the feasibility and safety of simultaneous bilateral video-assisted thoracic surgery (VATS) for the treatment of bilateral pulmonary lesions.MethodsThe data of 11 patients who received simultaneous bilateral pulmonary surgery using VATS in the Department of Thoracic Surgery of The Third Affiliated Hospital of Naval Medical University between January 2016 and August 2021 were retrospectively analyzed.ResultsThe cases of four male and seven female patients, with a mean age of 57.54 ± 8.37 years (range, 44-67 years), were reviewed. Nonanatomic wedge resection, pulmonary segmentectomy or lobectomy via VATS were performed depending on each patient’s situation. Mean 1 second forced expiratory volume (FEV1) was 2.55 ± 0.66 L(range, 1.49-3.88 L), mean intraoperative bleeding volume was 91.81 ± 49.56 mL(range, 30-150 mL), mean operating time was 273.72 ± 68.98 min(range, 132-390 min), and mean drainage duration was 5.27 ± 3.60 days(range, 2-14 days), with a mean total drainage volume of 1,515.90 ± 772.75 mL(range, 530-3,225 mL). Only one postoperative complication (air leakage) occurred, with an overall complication rate of 9.09%. The mean postoperative hospital stay was 8.81 ± 3.60 days (range, 5-18 days), and the mean total cost of hospitalization was 67,054.53 ± 20,896.49 RMB (range, 47,578.45-123,530.8 RMB).ConclusionsSimultaneous bilateral pulmonary surgery using VATS for the treatment of bilateral pulmonary lesions is safe and feasible and can therefore be considered after strict preoperative evaluation of the patient.https://www.frontiersin.org/articles/10.3389/fonc.2022.975259/fullsimultaneous bilateral surgeryvideo-associated thoracic surgerybilateral pulmonary diseasefeasibility and safety of surgerythoracic surgery |
| spellingShingle | Xiandong Tao Jiannan Zhao Wei Wei Zhengxiang Shan Hongyang Zheng Tiewen Pan The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions Frontiers in Oncology simultaneous bilateral surgery video-associated thoracic surgery bilateral pulmonary disease feasibility and safety of surgery thoracic surgery |
| title | The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions |
| title_full | The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions |
| title_fullStr | The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions |
| title_full_unstemmed | The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions |
| title_short | The feasibility and safety of simultaneous bilateral video-assisted thoracic surgery for the treatment of bilateral pulmonary lesions |
| title_sort | feasibility and safety of simultaneous bilateral video assisted thoracic surgery for the treatment of bilateral pulmonary lesions |
| topic | simultaneous bilateral surgery video-associated thoracic surgery bilateral pulmonary disease feasibility and safety of surgery thoracic surgery |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.975259/full |
| work_keys_str_mv | AT xiandongtao thefeasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT jiannanzhao thefeasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT weiwei thefeasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT zhengxiangshan thefeasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT hongyangzheng thefeasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT tiewenpan thefeasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT xiandongtao feasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT jiannanzhao feasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT weiwei feasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT zhengxiangshan feasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT hongyangzheng feasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions AT tiewenpan feasibilityandsafetyofsimultaneousbilateralvideoassistedthoracicsurgeryforthetreatmentofbilateralpulmonarylesions |