ArticleTranslational lung cancer research2026
Perioperative safety and risk stratification of simultaneous resection for multiple pulmonary nodules via video-assisted thoracoscopic surgery: a retrospective cohort study.
Article in Translational lung cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The detection of multiple pulmonary nodules (MPNs) has increased significantly, yet evidence regarding the safety of simultaneous resection using video-assisted thoracoscopic surgery (VATS) remains limited. This study evaluated treatment-requiring postoperative pulmonary complications (PPCs) and procedure-specific risk factors after VATS-based simultaneous resection for MPNs, with particular attention to combined anatomical resections and segmentectomy-related anatomy. Methods: Lung cancer patients with a dominant tumor ≤3 cm who underwent synchronous thoracoscopic resection between December 2008 and October 2020 were retrospectively reviewed. The primary endpoint was treatment-requiring PPCs, defined as Clavien-Dindo grade ≥II. Multivariable logistic regression was used to identify factors associated with treatment-requiring PPCs. Subgroup and supplementary analyses evaluated resection combinations, basal segment involvement, segmentectomy complexity, surgery period, and complication severity. Results: Among 1,052 patients, treatment-requiring PPCs occurred in 14.0% of patients, with no perioperative mortality. Impaired pulmonary function [forced expiratory volume in 1 second (FEV Conclusions: Video-assisted thoracoscopic simultaneous resection of MPNs appears feasible in selected patients, with a low severe PPC rate and no perioperative mortality. Preoperative pulmonary reserve, nodule burden, advanced age, lobectomy involvement, and basal segment involvement in segmentectomy-related procedures should be considered when planning individualized surgical strategies.
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