The Uncomfortable Truth: Open Thoracotomy versus Minimally Invasive Surgery in Lung Cancer: A Systematic Review and Meta-Analysis

Kim, Dohun; Woo, Wongi; Smıth, Lee; Lee, Sungsoo

doi:10.3390/cancers15092630

Cited by 4 publications

(1 citation statement)

References 47 publications

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“…A meta-analysis of seven RCTs found that VATS and thoracotomy did not differ in terms of operating time or early mortality [ 83 ]. However, hospital stay was slightly shorter in VATS compared with thoracotomy.…”

Section: Impact Of Surgical Access (Open and Mis (Vats And Rats)) On ...mentioning

confidence: 99%

Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective

Aigner,

Batirel,

Huber

et al. 2024

Eur Respir Rev

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Surgery remains an essential element of the multimodality radical treatment of patients with early-stage nonsmall cell lung cancer. In addition, thoracic surgery is one of the key specialties involved in the lung cancer tumour board. The importance of the surgeon in the setting of a multidisciplinary panel is ever-increasing in light of the crucial concept of resectability, which is at the base of patient selection for neoadjuvant/adjuvant treatments within trials and in real-world practice. This review covers some of the topics which are relevant in the daily practice of a thoracic oncological surgeon and should also be known by the nonsurgical members of the tumour board. It covers the following topics: the pre-operative selection of the surgical candidate in terms of fitness in light of the ever-improving nonsurgical treatment alternatives unfit patients may benefit from; the definition of resectability, which is so important to include patients into trials and to select the most appropriate radical treatment; the impact of surgical access and surgical extension with the evolving role of minimally invasive surgery, sublobar resections and parenchymal-sparing sleeve resections to avoid pneumonectomy.

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Section: Impact Of Surgical Access (Open and Mis (Vats And Rats)) On ...mentioning

confidence: 99%

Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective

Aigner,

Batirel,

Huber

et al. 2024

Eur Respir Rev

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Moderne individualisierte Diagnostik und Behandlung des nichtkleinzelligen Lungenkarzinoms

Winter,

Eichhorn,

Eichhorn

et al. 2024

Chirurgie

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Augmented Reality Implementation in Minimally Invasive Surgery for Future Application in Pulmonary Surgery: A Systematic Review

Doornbos,

Peek,

Maat

et al. 2024

Surg Innov

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Objective This systematic review investigates of Augmented Reality (AR) systems used in minimally invasive surgery of deformable organs, focusing on initial registration, dynamic tracking, and visualization. The objective is to acquire a comprehensive understanding of the current knowledge, applications, and challenges associated with current AR-techniques, aiming to leverage these insights for developing a dedicated AR pulmonary Video or Robotic Assisted Thoracic Surgery (VATS/RATS) workflow. Methods A systematic search was conducted within Embase, Medline (Ovid) and Web of Science on April 16, 2024, following the Preferred Reporting items for Systematic Reviews and Meta-Analyses (PRISMA). The search focused on intraoperative AR applications and intraoperative navigational purposes for deformable organs. Quality assessment was performed and studies were categorized according to initial registration and dynamic tracking methods. Results 33 articles were included, of which one involved pulmonary surgery. Studies used both manual and (semi-) automatic registration methods, established through anatomical landmark-based, fiducial-based, or surface-based techniques. Diverse outcome measures were considered, including surgical outcomes and registration accuracy. The majority of studies that reached an registration accuracy below 5 mm applied surface-based registration. Conclusions AR can potentially aid surgeons with real-time navigation and decision making during anatomically complex minimally invasive procedures. Future research for pulmonary applications should focus on exploring surface-based registration methods, considering their non-invasive, marker-less nature, and promising accuracy. Additionally, vascular-labeling-based methods are worth exploring, given the importance and relative stability of broncho-vascular anatomy in pulmonary VATS/RATS. Assessing clinical feasibility of these approaches is crucial, particularly concerning registration accuracy and potential impact on surgical outcomes.

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The Uncomfortable Truth: Open Thoracotomy versus Minimally Invasive Surgery in Lung Cancer: A Systematic Review and Meta-Analysis

Cited by 4 publications

References 47 publications

Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective

Resectable non-stage IV nonsmall cell lung cancer: the surgical perspective

Moderne individualisierte Diagnostik und Behandlung des nichtkleinzelligen Lungenkarzinoms

Augmented Reality Implementation in Minimally Invasive Surgery for Future Application in Pulmonary Surgery: A Systematic Review

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