Simultaneous Thoracoscopic Surgery for Bilateral Chest Diseases For bilateral thoracic lesions with surgical indications previously taken after surgery on one side first, and then surgery on the opposite side after 1 month, the physical and psychological damage to the patient, is self-evident. Thoracoscopic surgery is popular among patients because of its minimally invasive and fast recovery. It is because of thoracoscopy that simultaneous bilateral surgery is possible. It greatly shortens the treatment time for patients with bilateral thoracic lesions, so that patients no longer experience the pain of a second operation, and it is also easy for patients and their families to accept. We have recently completed three cases of simultaneous bilateral thoracoscopic surgery, which are described as follows: Jin Minghua, Department of Thoracic Surgery, Shandong Provincial Chest Hospital Xiao Xue is about to embark on his work as a doctor, but his hands have been sweating a lot since he was a young boy and he can’t be happy about it. In the internship work, after wearing sterile gloves, the sweat soaked his hands white and vesicant, and he also knew that he would inevitably have to wear gloves every day in his future work. For this reason, he came to our hospital. Our department performed bilateral thoracoscopic sympathetic chain dissection for the patient at the same time, and he was hospitalized for only 3 days at a cost of more than 10,000 yuan, which solved the persistent disease that had haunted him for more than 20 years. Upon follow-up, he had no discomfort at work. For Xiao Qiu, a senior high school student, the study was already tense as he approached the college entrance examination, but at this critical moment, he suffered a bilateral attack of pneumothorax. It was drained and treated in the local hospital. One week after discharge, the right side suffered another pneumothorax, and he came to our hospital to undergo closed chest drainage again, and when he was about to be discharged, the left side suffered another pneumothorax. The patient and his family were very anxious because of the two episodes of pneumothorax in one month and the proximity of the college entrance examination. After consulting the patient in our thoracoscopy unit, we decided to perform bilateral total thoracoscopic pulmonary herpetic resection at the same time in order to shorten the treatment time. With only three 1 cm incisions on each side, the bilateral surgery was completed in more than one hour, and the patient recovered well after the surgery and was discharged from the hospital after the stitches were removed in 7 days. The cost in the surgical ward was only 27,000 dollars. Figure 1-1, Preoperative bilateral pneumothorax chest radiograph, Figure 1-2, Postoperative chest radiograph on the second day, visible bilateral drainage tubes, Figure 1-3, Chest radiograph on discharge, both lungs were well inflated, Figure 1-4 , right apical herpetic emphysema, Figure 1-5, left multiple pulmonary herpetic And for Xiaoliu, who was preparing for the college entrance exam, the pre-examination checkup found bilateral posterior mediastinal space, which not only affects the schooling, but also the parents are also apprehensive due to the lack of knowledge of the nature of the lesion. The parents were also apprehensive because they did not know the nature of the lesions. After coming to our hospital, we carefully studied and repeatedly discussed, and performed bilateral posterior mediastinal tumor resection under thoracoscopy in the same period for the patient. Based on the principle of first easy and then difficult, the right side of the lesion was resected first, which took only 30 minutes, and then the left side of the lesion was resected, which took more than 1 hour. Only two small incisions of 1 cm and 2 cm were used on each side. The stitches were removed 7 days after surgery and the patient was discharged from the hospital. Figure 2-1, Preoperative bilateral posterior mediastinal space-occupying CT films, Figure 2-2, Left incision, Figure 2-3, Right incision, Figure 2-4, Left mass, Figure 2-5, Right mass, Figure 2-6, Intraoperative left operation