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).
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