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 2024/11/09 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