EXPERIENCE WITH THE TREATMENT OF BILATERAL SYNCHRONOUS MULTIPLE PRIMARY LUNG CANCERS

目的：探讨胸腔镜在双侧同时性多原发性肺癌治疗中的作用。方法和结果：对2例双侧同时性多原发性肺癌病人，联合应用开胸和胸腔镜手术进行治疗，病灶较大的一侧行常规开胸肺叶切除，病灶较小的一侧行胸腔镜下楔形切除，手术时间较短，术后恢复顺利，无并发症发生。术后随访最长者8个月，均无肿瘤复发和转移的征象。结论：对于双侧同时性多原发性肺癌，病灶较小的一侧行胸腔镜肺楔形切除，病灶较大的一侧行常规开胸肺切除是可行的治疗方法。Objective:Evaluate the role of video-assisted thoracic surgery (VATS) in the treatment of bilateral synchronous multiple primary lung cancers.Methods and Results:Two paitents diagnosised as bilateral synchronous multiple primary lung cancers received one-stage treatment combined conventional thoracotomy with video-assisted thoracic surgery,performing open lobectomy to remove the larger tumor,performing wedge resection using thoracoscopy to excise the smaller one.The surgery time is short.Patients all recover smoothly without complications.To date,these two patients all alive without any sign of recurrence or metastasis of tumor,median follow-up time is 5 months (2 months+8 months).Conclusions:It is feasible to carry out one-stage treatment combined conventional thoracotomy with video-assisted thoracic surgery on patients with bilateral synchronous multiple prima-ry lung cancers,when one of the tumors of bilateral synchronous multiple primary lung cancers is classificated as T1N0M0.0130-32