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Subxiphoid uniportal VATS for bilat_1.avi (58.44 MB)

Subxiphoid uniportal video-assisted thoracoscopic surgery for synchronous bilateral lung resection

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posted on 2017-11-06, 12:48 authored by Xueying Yang, Linlin Wang

Objectives: With advancements in medical imaging and current emphasis on regular physical examinations, multiple pulmonary lesions increasingly are being detected, including bilateral pulmonary lesions. Video-assisted thoracic surgery is an important method for treating such lesions. Most of video-assisted thoracic surgeries for bilateral pulmonary lesions were two separate operations. Herein, we report a novel technique of synchronous subxiphoid uniportal video-assisted thoracic surgery for bilateral pulmonary lesions.

Methods: Synchronous bilateral lung resection procedures were performed through a single incision (~4 cm, subxiphoid).

Results: This technique was used successfully in 11 patients with bilateral pulmonary lesions. There were no intraoperative deaths or mortality recorded at 30 days.

Conclusions: Our results show that the subxiphoid uniportal thoracoscopic procedure is a safe and feasible surgical procedure for synchronous bilateral lung resection with less surgical trauma, postoperative pain and better cosmetic results in qualifying patients. Further analysis is ongoing, involving a larger number of subjects.

Funding

This study was supported by the Specialized Research Fund for the Doctoral Program of Higher Education of China [20122104120015].

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