Related Experiment Video
Updated: May 8, 2026
11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
One-stage bilateral pulmonary resections for pulmonary metastases
Yoshimasa Mizuno1, Hisashi Iwata, Koyo Shirahashi
1Department of General and Cardiothoracic Surgery, Graduate School of Medicine, Gifu University, 1-1 Yanagido, Gifu, Gifu, 501-1194, Japan.
General Thoracic and Cardiovascular Surgery
|August 31, 2013
Summary
One-stage bilateral pulmonary resection is a safe and effective treatment for bilateral lung metastases. This approach may also be more cost-effective than staged surgeries, offering economic benefits.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Pulmonary metastases necessitate surgical intervention.
- Bilateral lung metastases present unique surgical challenges.
- The safety and efficacy of one-stage bilateral pulmonary resection require evaluation.
Purpose of the Study:
- To analyze the safety and efficacy of one-stage bilateral pulmonary resections for pulmonary metastases.
- To compare outcomes between unilateral and one-stage bilateral pulmonary metastasectomy.
Main Methods:
- Retrospective analysis of 154 patients with pathologically verified pulmonary metastases.
- Comparison of intraoperative and perioperative variables between unilateral (n=130) and one-stage bilateral (n=24) resection groups.
- Evaluation of operation time, blood loss, hospital stay, complication incidence, and hospitalization costs.
Main Results:
- One-stage bilateral resection had longer operation times but comparable blood loss and complication rates to unilateral resection.
- Postoperative hospital stay did not differ significantly between groups.
- Hospitalization costs for one-stage bilateral resection were higher than unilateral but less than double, suggesting potential economic benefits.
Conclusions:
- One-stage bilateral pulmonary metastasectomy is a safe procedure for patients with bilateral pulmonary metastases.
- This approach may provide economic advantages by consolidating treatment into a single operation, avoiding costs of a two-stage procedure.
