Wang Linlin, Ge Lihui, Yang Xueying
a Department of Thoracic Surgery , Shengjing Hospital of China Medical University , Shenyang , China.
c Department of Thoracic Surgery , The Fourth Affiliated Hospital of China Medical University , Shenyang , China.
Postgrad Med. 2017 Jun;129(5):513-516. doi: 10.1080/00325481.2017.1324229. Epub 2017 May 5.
Uniportal video-assisted thoracic surgery (VATS) is carried out to reduce postoperative pain after treatment of thoracic diseases. Here, we report a novel method that combines a subxiphoid and intercostal uniportal VATS approach that can be used to treat bilateral pulmonary lesions simultaneously. The first case is a 50-year-old female with bilateral pulmonary lesions who received left lower lobectomy associated with right middle lobe wedge resection synchronously; the other case is a 14-year-old male who was admitted for resection of bilateral lung metastases as a result of previous osteosarcoma. We combined a subxiphoid approach with intercostal uniportal surgical procedure for bilateral pulmonary lesions. Less postoperative pain, faster postoperative recovery, and a better aesthetic effect are possible superiorities of this method if patients are selected carefully. Our results show that the combining of a subxiphoid approach with intercostal uniportal VATS is a feasible and efficient surgical procedure for bilateral pulmonary lesions, with good outcomes. Moreover, this procedure is more suitable for patients with bilateral pulmonary lesions.
单孔电视辅助胸腔镜手术（VATS）旨在减轻胸部疾病治疗后的术后疼痛。在此，我们报告一种新颖的方法，该方法结合了剑突下和肋间单孔VATS入路，可用于同时治疗双侧肺部病变。第一例是一名50岁患有双侧肺部病变的女性，她同时接受了左下叶切除术和右中叶楔形切除术；另一例是一名14岁男性，因先前的骨肉瘤而入院接受双侧肺转移瘤切除术。我们将剑突下入路与肋间单孔手术方法相结合用于双侧肺部病变。如果仔细选择患者，该方法可能具有术后疼痛较轻、术后恢复较快和美学效果较好等优势。我们的结果表明，剑突下入路与肋间单孔VATS相结合对于双侧肺部病变是一种可行且有效的手术方法，效果良好。此外，该手术方法更适合双侧肺部病变的患者。
