VATS and Minimally Invasive Resection in Early-Stage NSCLC.

Journal Article (Journal Article;Review)

Lung carcinoma widely affects men and women in the sixth and seventh decades of life. Thorough workup with radiographic imaging, pathologic diagnosis, and cardiopulmonary functional assessment is key to successful treatment. Accurate staging is essential for both assessing prognosis and directing therapy. Early-stage lung cancer is most often treated with anatomic lobectomy; locally advanced cancers may require induction or adjuvant therapies. Any nonnodal metastases will require definitive systemic therapy. Traditionally, surgery was performed with a posterolateral thoracotomy incision, division of the hilar vessels, removal of affected lung parenchyma, and a complete mediastinal and hilar lymph node dissection for accurate pathologic staging. In recent years, however, video-assisted thoracoscopic (VATS) or other minimally invasive approaches have emerged as the standard of care for early-stage disease. Compared with standard thoracotomy, VATS lobectomy offers improved postoperative outcomes as well as potential survival benefit. Thoracoscopic lobectomy is also cost-effective. This article focuses on the technique, outcomes, adaptation, and evolution of thoracoscopic lobectomy and other minimally invasive techniques in the treatment of lung cancer.

Full Text

Duke Authors

Cited Authors

  • Salfity, H; Tong, BC

Published Date

  • June 2020

Published In

Volume / Issue

  • 41 / 3

Start / End Page

  • 335 - 345

PubMed ID

  • 32450587

Electronic International Standard Serial Number (EISSN)

  • 1098-9048

Digital Object Identifier (DOI)

  • 10.1055/s-0039-3401991


  • eng

Conference Location

  • United States