RT Book, Section
A1 Park, Bernard 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 1105847875
T1 Robotics: 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=1105847875
RD 2024/10/15
AB Lobectomy  via  minimally  invasive  video-assisted  thoracic  surgery  (VATS)  has  proved  to  be  a  feasible  and  oncologically  acceptable  approach  for  non–small-cell  lung  cancer  (NSCLC)  and  other  isolated  tumors  and  conditions.  However,  despite  multiple  studies  showing  clear  benefits  over  a  traditional  thoracotomy  approach,  such  as  decreased  length  of  stay,  decreased  short-term  postoperative  pain,  and  fewer  complications,1–3  VATS  is  still  not  accepted  as  the  standard  approach  for  anatomic  resection,  and  is  only  slowly  being  implemented  more  widely.  The  explanation  is  likely  multifactorial  including  (1)  technical  issues,  such  as  two-dimensional  imaging  and  limited  maneuverability  of  instrumentation;  (2)  lack  of  adequate  training;  and  (3)  concerns  about  the  consequences  of  major  vascular  injury  with  a  closed  chest  approach.