Surgical treatment for early stage non-small cell lung cancer.


Journal Article (Review)

Surgery is the standard of care for early stage non-small cell lung cancer. There is significant debate about the type of operation most effective for lung cancer. Minimally invasive techniques like video-assisted (VATS) and robot-assisted thoracoscopic surgery (RATS) have been shown to reduce postoperative complications and shorten hospitalization. However, there remains skepticism about their oncologic effectiveness when compared to an open approach, though recent literature suggests no differences in upstaging or survival between VATS and thoracotomy. The extent of resection for early lung cancer also remains a matter of debate. Lobectomy remains the preferred operation and is associated with better survival and lower locoregional recurrence, but there is increased interest in the role of sublobar resections. Sublobar resections have similar mortality to lobar resections in small ground glass-predominant tumors. We examine the literature surrounding these controversies in this review.

Full Text

Duke Authors

Cited Authors

  • Raman, V; Yang, C-FJ; Deng, JZ; D'Amico, TA

Published Date

  • April 2018

Published In

Volume / Issue

  • 10 / Suppl 7

Start / End Page

  • S898 - S904

PubMed ID

  • 29780636

Pubmed Central ID

  • 29780636

International Standard Serial Number (ISSN)

  • 2072-1439

Digital Object Identifier (DOI)

  • 10.21037/jtd.2018.01.172


  • eng

Conference Location

  • China