TY - JOUR
T1 - Video-assisted thoracoscopic lobectomy for lung cancer
AU - Kim, Hyun Koo
N1 - Funding Information:
The authors would like to acknowledge Margaret Baker and Amanda Gates for their clinical and technical support. The authors would also like to thank all of the volunteers for giving up their time to complete the study.
PY - 2012/12
Y1 - 2012/12
N2 - Video-assisted thoracoscopic surgery (VATS) provides a new approach for treating early-stage lung cancer. VATS lobectomy has significant perioperative advantages such having as a lower rate of morbidity and being less immunosuppressive than open lobectomy, and it also provides a shorter recovery time, less postoperative pain, and faster resumption of a normal lifestyle. However, a clear definition of VATS lobectomy is lacking in the current literature. The generally accepted method of VATS lobectomy is from three to four incisions in number of port, 4.0 to 8.0 cm in utility length, and without rib spreading. However, there is still much debate on the role of VATS in lobectomy for the treatment of lung cancer. Concerns regarding safety, the extent of mediastinal lymph node dissection, and long-term survival have made some surgeons apprehensive of its validity for lung cancer. Nevertheless, recent data have shown that VATS lobectomy appears to have equivalent oncological results compared with open lobectomy for patients with early stage non-small cell lung cancer. With growing experience with VATS and development of thoracoscopic instrument, VATS can be beneficial to patients with early stage of lung cancer.
AB - Video-assisted thoracoscopic surgery (VATS) provides a new approach for treating early-stage lung cancer. VATS lobectomy has significant perioperative advantages such having as a lower rate of morbidity and being less immunosuppressive than open lobectomy, and it also provides a shorter recovery time, less postoperative pain, and faster resumption of a normal lifestyle. However, a clear definition of VATS lobectomy is lacking in the current literature. The generally accepted method of VATS lobectomy is from three to four incisions in number of port, 4.0 to 8.0 cm in utility length, and without rib spreading. However, there is still much debate on the role of VATS in lobectomy for the treatment of lung cancer. Concerns regarding safety, the extent of mediastinal lymph node dissection, and long-term survival have made some surgeons apprehensive of its validity for lung cancer. Nevertheless, recent data have shown that VATS lobectomy appears to have equivalent oncological results compared with open lobectomy for patients with early stage non-small cell lung cancer. With growing experience with VATS and development of thoracoscopic instrument, VATS can be beneficial to patients with early stage of lung cancer.
KW - Lobectomy
KW - Lung neoplasms
KW - Video-assisted thoracoscopic surgery
UR - http://www.scopus.com/inward/record.url?scp=84872132786&partnerID=8YFLogxK
U2 - 10.5124/jkma.2012.55.12.1193
DO - 10.5124/jkma.2012.55.12.1193
M3 - Article
AN - SCOPUS:84872132786
SN - 1975-8456
VL - 55
SP - 1193
EP - 1198
JO - Journal of the Korean Medical Association
JF - Journal of the Korean Medical Association
IS - 12
ER -