2024 World Conference on Lung Cancer (WCLC) - Posters-P2.07B.03 Simultaneous Bilateral Video-Assisted Thoracic Surgery Is Safe and Feasible for Multiple Primary Lung Cancers

P2.07B.03 Simultaneous Bilateral Video-Assisted Thoracic Surgery Is Safe and Feasible for Multiple Primary Lung Cancers

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The study evaluates the safety and feasibility of simultaneous bilateral video-assisted thoracic surgery (VATS) for treating patients with synchronous bilateral lung nodules, which are increasingly common. This type of lung cancer remains leading in morbidity and mortality globally. The study compares simultaneous bilateral VATS, a more invasive yet effective procedure, with the more traditionally favored two-staged bilateral surgery, known for its safety and stability.<br /><br />Using data from the Peking Union Medical College Hospital's lung cancer database, the research involved 237 patients divided into two groups: 158 underwent simultaneous bilateral VATS, while 79 received two-staged surgeries. The study focuses on key patient characteristics, surgical procedures, and postoperative outcomes.<br /><br />The study found no significant differences between the groups regarding operative time and postoperative complications. However, simultaneous bilateral VATS showed significantly shorter total anesthesia time and total hospital stays. Patients undergoing simultaneous surgery had similar or slightly better short-term outcomes, with shortened postoperative hospital stays and reduced total chest drainage volume compared to the two-staged group.<br /><br />Conclusively, simultaneous bilateral VATS presents itself as a safe and feasible option, with survival rates comparable to two-staged bilateral VATS. The potential advantages of simultaneous surgery, notably in appropriate patients, could make it an optimal treatment strategy. It offers similar or improved short-term outcomes, demonstrating efficient management of bilateral multiple primary lung cancers (MPLC). Factors such as TNM stage, surgery type, and the number of lymph nodes removed were identified as associated with postoperative complications, guiding patient selection for this surgical approach.

Asset Subtitle

Libing Yang

Meta Tag

Speaker Libing Yang

Topic Early-Stage NSCLC

Keywords

simultaneous bilateral VATS

synchronous bilateral lung nodules

lung cancer morbidity

two-staged bilateral surgery

Peking Union Medical College Hospital

postoperative outcomes

total anesthesia time

short-term outcomes

bilateral multiple primary lung cancers

TNM stage