Abstract
Synchronous lung cancer is considered one of the most difficult resection presentations. Bilateral staged thoractomy still exists as the gold standard, as few cases are reported by using median strenotmy. Video-assisted thoracic surgery (VATS) has gained an important role in routine thoracic surgical practice, and staged VATS resection of bilateral lung cancer has been reported with satisfactory results. From here, we describe a patient with bilateral lung cancer in which we successfully resected the contra lateral lung nodule through the ipsilateral VATS approach. To our knowledge, this is the first report of bilateral lung cancer managed with the ipsilateral trans-mediastinal VATS technique (alzandi technique).
Highlights
Video-assisted thoracic surgery (VATS) has gained an important role in routine thoracic surgical practice, and staged VATS resection of bilateral lung cancer has been reported with satisfactory results
We describe a patient with bilateral lung cancer in which we successfully resected the contra lateral lung nodule through the ipsilateral VATS approach
This is the first report of bilateral lung cancer managed with the ipsilateral trans-mediastinal VATS technique
Summary
Single-stage bilateral surgical treatment of synchronous bilateral multiple lung cancer is ideal for cancer curative resection; such treatment is considered highly invasive. We have shown success in resecting a synchronous lesion in the left upper lobe through the same incisions of VATS, in the right upper lobectomy This was done in the same sitting with an excellent outcome, by developing the new technique which we call the alzandi technique. A fine needle biopsy of the right nodule was suggestive of malignancy Due to her impaired pulmonary function, and the unique location of the left mass, a right upper lobectomy and limited resection on the left using trans-mediastinal VATS resection (alzandi technique ) was chosen to preserve lung function, while offering the advantages of reduced invasiveness and pain, shorter surgical duration, and favorable cosmetic results. A standard right VATS upper lobectomy was performed, and resection of the left upper lobe was carried out using the trans-mediastinal approach (alzandi technique). CT scan (left) PET (right) showed 16 mm mass on the medial left upper lobe
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