Mini‐invasive surgery in lung cancer: Current status and future considerations

Video‐assisted thoracic surgery is an optimal alternative to conventional thoracotomy for reoperations for ipsilateral pulmonary lesions

“…In cases in which systemic lymph node dissection was necessary, a wise choice was to clamp and dissect the distal bronchial stump followed by sharp dissection to manage benign adhesions and to compensate for the increased risk of intraoperative bleeding during VATS. In addition, VATS can provide illumination and clearly magnified images with anatomic details deep in the body, which is helpful for lymph node dissection …”

Comparative study of the anatomic segmentectomy versus lobectomy for clinical stage I A peripheral lung cancer by video assistant thoracoscopic surgery

“…[4] Overseas studies have found that for stage I A non-small cell lung cancer, totally thoracoscopic anatomic segmentectomy had the similar efficacy to lobectomy by comparison with lymphadenectomy number, local recurrence rates and survival rates, [5][6][7][8] and also found that segmentectomy could ensure adequate margins, lymphadenectomy numbers, the local recurrence rate, 5-year survival rate better than that of pulmonary wedge resection. [9,10] In 2004, Keenan et al studied low pre-operative pulmonary function became more poor 1 year later after lobectomy with the representation that forced expiratory volume in 1 s and forced vital capacity value and carbon monoxide diffusing capacity (DLCO) significantly decreased while segmentectomy group showed just DLCO decreased.…”

Different limited resection of pulmonary lobe methods under the thoracoscopy in the treatment of early nonsmall cell lung cancer occurred in the old age

“…[10][11][12] So age is not the absolute surgery taboo, on the contrary, for elderly patients with lung cancer, surgical resection is still an effective cure method. [13][14][15][16] However, physiological degeneration changes due to age of elderly patients with lung cancer merging other basic pathological changes, often affect its tolerance ability of lung cancer surgery, and rigorous assessment and preparation are required to be made for patients before operation. We mainly focus on maximum of reservation of lung function and maximum of lesion removal, which are also key problems of great emphasis on the choice of operation method.…”

“…Furthermore, we must know clearly the advantages and limitations of each operation so that we can conduct normal choice of operation indication, to optimize benefits of the patients. [40][41][42] …”