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

2017-11-06T12:48:08Z (GMT) by Xueying Yang Linlin Wang
<p><b>Objectives</b>: 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.</p> <p><b>Methods</b>: Synchronous bilateral lung resection procedures were performed through a single incision (~4 cm, subxiphoid).</p> <p><b>Results</b>: This technique was used successfully in 11 patients with bilateral pulmonary lesions. There were no intraoperative deaths or mortality recorded at 30 days.</p> <p><b>Conclusions</b>: 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.</p>