RT Book, Section
A1 Nicastri, Daniel G.
A1 Swanson, Scott J.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105842404
T1 Vats Lobectomy
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105842404
RD 2024/04/19
AB Video-assisted  thoracic  surgery  (VATS)  lobectomy  has  been  used  in  the  treatment  of  lung  cancer  since  the  early  1990s.  While  there  is  evidence  that  lobectomy  is  better  than  wedge  resection  in  most  patients,  there  are  no  large  prospective,  randomized  studies  favoring  video-assisted  lobectomy  over  conventional  lobectomy  by  thoracotomy.1  However,  there  are  several  series  that  support  the  use  of  VATS  lobectomy  technique.  These  include  some  small  (n  ≤  100)  prospective,  randomized  studies  that  compare  VATS  with  lobectomy  by  thoracotomy  (Table  74-1).  From  these  data,  as  well  as  data  from  several  exclusive  VATS  series,  it  is  clear  that  VATS  lobectomy  is  technically  feasible  and  safe  and  even  may  provide  better  quality-of-life  outcomes  in  patients  with  resectable  lung  cancer.  Despite  these  efforts,  VATS  lobectomies  represent  about  25%  to  30%  of  all  lobectomies  performed  in  the  United  States.6