Simultaneous bilateral pulmonary resection via single‐utility port VATS for multiple pulmonary nodules: A single‐center experience of 16 cases
Article Swipe
Chuan Huang
,
Yaoguang Sun
,
Qingjun Wu
,
Chao Ma
,
Peng Jiao
,
Yongzhong Wang
,
Wen Huang
,
Wenxin Tian
,
Hanbo Yu
,
Donghang Li
,
Hongfeng Tong
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/1759-7714.13791
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1111/1759-7714.13791
Background The detection rate of bilateral multiple pulmonary nodules (BMPNs) is increasing due to widespread use of chest computed tomography (CT) screening. However, there is no consensus on the treatment options for BMPNs and whether simultaneous bilateral pulmonary resection is safe remains controversial. The purpose of this study was to evaluate the feasibility and safety of simultaneous bilateral pulmonary resection for BMPNs. Methods A total of 16 consecutive patients with BMPNs who underwent simultaneous bilateral pulmonary resection in Beijing Hospital from June 2013 to July 2020 were enrolled in this study. Clinical characteristics, imaging and pathological features, and perioperative outcomes were retrospectively reviewed. Results There were 10 males and six females included in the study with a mean age of 61.9 (range: 39–78) years. A total of 35 nodules were resected in 16 patients including 12 patients with bilateral primary lung cancer, three patients with primary lung cancer on one side and a benign nodule on the contralateral side, and one patient with bilateral benign nodules. All patients underwent bilateral pulmonary resection via single‐utility port video‐assisted thoracoscopic surgery (VATS). Nine, four, two, and one patients underwent lobectomy with contralateral segmentectomy or wedge resection, segmentectomy with contralateral wedge resection, bilateral segmentectomy and bilateral wedge resection, respectively. All operations were accomplished successfully without intraoperative blood transfusion, conversion to thoracotomy, major complication and postoperative 90‐day death. The mean operation time was 220.1 ± 65.6 minutes, median thoracic drainage duration was four days (range: 2–8 days), mean pleural drainage was 1387.5 ± 694.7 mL, and median postoperative hospital stay was seven days (range: 5–18 days). There were three cases (18.8%) of minor complications, including one case of pulmonary air leakage, one case of atrial fibrillation, and one case of poor healing of surgical site. A total of 50% (8/16) of the patients had severe postoperative pain and required additional analgesia. Conclusions For selected patients, simultaneous bilateral pulmonary resection via single‐utility port VATS is a safe and feasible minimally invasive procedure for BMPNs. Adequate postoperative analgesia via a multimodal analgesia strategy should be used to prevent postoperative pain. Key points Significant findings of the study The incidence of major complication after minimally invasive bilateral pulmonary resection is low for patients with good pulmonary function, but there is a relatively high incidence of minor complications and pain at the surgical site. Adequate postoperative analgesia via multimodal analgesia strategy should be used to prevent postoperative pain. What this study adds For the treatment of bilateral multiple pulmonary nodules, simultaneous bilateral pulmonary resection via single‐utility port video‐assisted thoracoscopic surgery is safe and feasible for selected patients.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/1759-7714.13791
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1759-7714.13791
- OA Status
- gold
- Cited By
- 17
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3116982078
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3116982078Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/1759-7714.13791Digital Object Identifier
- Title
-
Simultaneous bilateral pulmonary resection via single‐utility port
VATS for multiple pulmonary nodules: A single‐center experience of 16 casesWork title - Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-12-22Full publication date if available
- Authors
-
Chuan Huang, Yaoguang Sun, Qingjun Wu, Chao Ma, Peng Jiao, Yongzhong Wang, Wen Huang, Wenxin Tian, Hanbo Yu, Donghang Li, Hongfeng TongList of authors in order
- Landing page
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https://doi.org/10.1111/1759-7714.13791Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1759-7714.13791Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1759-7714.13791Direct OA link when available
- Concepts
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Medicine, Wedge resection, Surgery, Single Center, Video-assisted thoracoscopic surgery, Lung cancer, Thoracotomy, Perioperative, Cardiothoracic surgery, Radiology, Resection, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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17Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 2, 2023: 7, 2022: 3, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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25Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.treatment | 29, 405 |
| abstract_inverted_index.underwent | 72, 168, 185 |
| abstract_inverted_index.Background | 0 |
| abstract_inverted_index.additional | 304 |
| abstract_inverted_index.analgesia. | 305 |
| abstract_inverted_index.conversion | 214 |
| abstract_inverted_index.increasing | 11 |
| abstract_inverted_index.multimodal | 333, 389 |
| abstract_inverted_index.operations | 206 |
| abstract_inverted_index.relatively | 373 |
| abstract_inverted_index.resection, | 192, 197, 203 |
| abstract_inverted_index.screening. | 21 |
| abstract_inverted_index.tomography | 19 |
| abstract_inverted_index.widespread | 14 |
| abstract_inverted_index.Conclusions | 306 |
| abstract_inverted_index.Significant | 345 |
| abstract_inverted_index.consecutive | 67 |
| abstract_inverted_index.feasibility | 52 |
| abstract_inverted_index.accomplished | 208 |
| abstract_inverted_index.complication | 218, 354 |
| abstract_inverted_index.pathological | 95 |
| abstract_inverted_index.simultaneous | 35, 56, 73, 310, 411 |
| abstract_inverted_index.successfully | 209 |
| abstract_inverted_index.thoracotomy, | 216 |
| abstract_inverted_index.transfusion, | 213 |
| abstract_inverted_index.complications | 378 |
| abstract_inverted_index.contralateral | 157, 188, 195 |
| abstract_inverted_index.fibrillation, | 280 |
| abstract_inverted_index.perioperative | 98 |
| abstract_inverted_index.postoperative | 220, 252, 300, 329, 341, 386, 397 |
| abstract_inverted_index.respectively. | 204 |
| abstract_inverted_index.segmentectomy | 189, 193, 199 |
| abstract_inverted_index.thoracoscopic | 176, 419 |
| abstract_inverted_index.complications, | 268 |
| abstract_inverted_index.controversial. | 42 |
| abstract_inverted_index.intraoperative | 211 |
| abstract_inverted_index.retrospectively | 101 |
| abstract_inverted_index.characteristics, | 92 |
| abstract_inverted_index.single‐utility | 173, 315, 416 |
| abstract_inverted_index.video‐assisted | 175, 418 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5003081657 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| corresponding_institution_ids | https://openalex.org/I200296433 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8199999928474426 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.85265828 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |