• Xueying Yang and Linlin Wang.
• a Department of Thoracic Surgery , The Fourth Affiliated Hospital of China Medical University , Shenyang , China.
• Postgrad Med. 2018 Jan 1; 130 (1): 142-145.

ObjectivesWith 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.MethodsSynchronous bilateral lung resection procedures were performed through a single incision (~4 cm, subxiphoid).ResultsThis technique was used successfully in 11 patients with bilateral pulmonary lesions. There were no intraoperative deaths or mortality recorded at 30 days.ConclusionsOur 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.

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