單次雙側胸腔鏡肺切除治療不同類型的肺部疾病

One-stage Bilateral Thoracoscopic Pulmonary Resections for Various Lung Diseases

本研究主要的目的是描述單次雙側胸腔鏡肺切除術，治療各種肺部疾病的個人趨勢。從2016年5月至2021年12月，共有489個病人因各種肺部疾病，接受胸腔鏡肺切除術。其中，80個病人（16.4%）因為雙側肺部病變，需要單次雙側胸腔鏡肺切除手術。這些雙側肺部疾病可歸類為雙側肺癌（20例），雙側支氣管擴張症（17例），一側惡性腫瘤另一側良性病變（14例），雙側良性病變（12例），雙側之癌轉移結節（9例）和雙側大肺疱（8例）。以女性病人較多數（61.3%）。然而，雙側大肺疱多見於男性病人。結果顯示在這80名病人中，平均年齡為64歲（17至86歲）。平均手術時間為236.5分鐘（72到490分鐘）。手術後平均住院5.98天，與單側胸腔鏡肺手術相比，住院沒有顯著延長（5.98天vs 5.21天，P = 0.125）。沒有手術併發症或手術死亡。本研究的結論是單次雙側胸腔鏡肺切除術，可成為治療各種雙側肺部疾病的趨勢。

The objective of this study is to describe a personal tendency of one-stage bilateral thoracoscopic pulmonary resections in treating various bilateral lung diseases. Between May 2016 and December 2021, a total of 489 patients underwent thoracoscopic pulmonary resections for various lung diseases. Of them, 80 (16.4%) patients with bilateral lung lesions underwent one-stage bilateral thoracoscopic pulmonary resections. These bilateral lung diseases were categorized as bilateral lung cancer (n = 20), bilateral bronchiectasis (n = 17), one-side malignancy and otherside benign lesion (n = 14), bilateral benign lesions (n = 12), bilateral metastatic nodules (n = 9), and bilateral lung bullae (n = 8). The female patients were greater in number (61.3%). However, bilateral bullae commonly occurred in male patients. In these 80 patients, their average age was 64 (17 up to 86). The average operating time was 236.5 minutes, ranging from 72 to 490 minutes. The average postoperative hospital stay was 5.98 days, which was not significantly longer than one-sided thoracoscopic lung surgery (5.98 days vs 5.21 days, P = 0.125). There was no surgical morbidity or operative death. In conclusion, one-stage bilateral thoracoscopic pulmonary resections could be a tendency in the treatment of various bilateral lung diseases.