Video-assisted thoracoscopic surgery lobectomy for non-small cell lung cancer

Since 1990s, video-assisted thoracoscopic surgery (VATS) lobectomy has become a standard procedure for early-stage non-small cell lung cancer. However, VATS lobectomies are less common, and no randomized controlled trial of VATS versus conventional open lobectomy for early-stage lung cancer has been...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2018-11, Vol.66 (11), p.626-631
Main Authors: Mun, Mingyon, Nakao, Masayuki, Matsuura, Yosuke, Ichinose, Junji, Nakagawa, Ken, Okumura, Sakae
Format: Article
Language:English
Subjects:
Cancer surgery
Carcinoma, Non-Small-Cell Lung - pathology
Carcinoma, Non-Small-Cell Lung - surgery
Cardiac Surgery
Cardiology
Current Topics Review Article
Dissection
Hospitals
Humans
Japan
Length of stay
Lung cancer
Lung Neoplasms - pathology
Lung Neoplasms - surgery
Lymph Node Excision - methods
Lymphatic system
Medical prognosis
Medicine
Medicine & Public Health
Oncology
Ostomy
Pain
Pneumonectomy
Pneumonectomy - trends
Quality of life
Questionnaires
Surgeons
Surgical Oncology
Thoracic Surgery
Thoracic Surgery, Video-Assisted - trends
Thoracoplasty
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Summary:Since 1990s, video-assisted thoracoscopic surgery (VATS) lobectomy has become a standard procedure for early-stage non-small cell lung cancer. However, VATS lobectomies are less common, and no randomized controlled trial of VATS versus conventional open lobectomy for early-stage lung cancer has been performed in Japan. Furthermore, VATS lobectomy procedures are not standardized in Japan, and may vary by institution or by practitioner, which complicates their evaluation. Although VATS procedures (such as pneumonectomy, bronchoplasty, and chest wall resection) have been reportedly performed for patients with advanced disease, whether VATS could be a standard modality for advanced lung cancer is unclear from an oncological perspective. Until recently, VATS lobectomies commonly used three or four ports to conduct systemic lymph node dissection; however, VATS lobectomies with reduced port have been recently reported. This article reviews current trends in VATS lobectomy procedures.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-018-0979-x