Video-Assisted Thoracic Surgery Lobectomy: Single Institutional Experience With 704 Cases

Lobectomía por VATS

“…De los datos expuestos de la revisión de esta serie inicial se evidencia que tanto el porcentaje de complicaciones intraoperatorias (13,3%) como de complicaciones postquirúrgicas (6,6%) son similares a los publicados en diferentes series. También los días promedio con pleurostomía (4,09), caen dentro del rango esperado 20,21 . En nuestra serie, destaca que el tiempo quirúrgico se encuentra en el rango inferior de lo publicado.…”

Mediastinal lymphadenectomy fulfilling NCCN criteria may improve the outcome of clinical N0–1 and pathological N2 non-small cell lung cancer

“…Preoperative staging procedures still underestimate pathological stage in 10-20% of patients with early stage disease (15,16) and the proper surgical approach for this unexpected N2 group is still under investigation. According to this study, potential prognostic effect of NCCN lymphadenectomy criteria on cN0/1-pN2 group suggested that lymphadenectomy fulfilling NCCN criteria may be a standard requirement for lung cancer surgery due to its influence on the outcome and staging.…”

The Evolution of VATS Lobectomy

“…This totally endoscopic c-VATS lobectomy performed in Hong Kong is essentially the same operation found throughout the world nowadays (McKenna et al, 2006;Kim et al, 2010). The basic techniques will be familiar to VATS surgeons from any country: no rib-spreading; surgeon standing anterior to the patient; an anterior-to-posterior strategy; fissureless surgery; and systematic exploration of the nodes.…”