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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2011, Vol. 5 Issue (1) : 53-60     DOI: 10.1007/s11684-011-0121-2
REVIEW |
Lobectomy by video-assisted thoracoscopic surgery (VATS) for early stage of non-small cell lung cancer
Min ZHU1, Xiang-Ning FU1, Xiao-Ping CHEN2()
1. Department of General Thoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China; 2. Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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Abstract  

Video-assisted thoracoscopic surgery (VATS) provides a new approach for treating early-stage lung cancer. Lobectomy by VATS has many advantages over conventional thoracotomy, such as shorter recovery time, less postoperative pain, and faster resumption of a normal lifestyle. However, there is still much debate on the role of VATS in lobectomy for the treatment of lung cancer. Concerns regarding safety, the extent of mediastinal lymph node dissection, and long-term survival have made some surgeons apprehensive of its validity for lung cancer. In this paper, we review the development of thoracoscopy, the present status of VATS for early stage of non-small cell lung cancer (NSCLC), and comparison between VATS and open thoracotomy in the management of NSCLC.

Keywords non-small cell lung cancer      video-assisted thoracoscopic surgery      lobectomy     
Corresponding Authors: CHEN Xiao-Ping,Email:chenxp@medmail.com.cn   
Issue Date: 05 March 2011
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-011-0121-2     OR     http://academic.hep.com.cn/fmd/EN/Y2011/V5/I1/53
Author, yearNSCLC proportionConversion (%)Complications (%)Mortality (%)MHS (days)Outcome
Lewis, 1999 [26]214/400-1102.834 M= 83%
Ohtsuka, 2004 [46]106/1061091.17.63 Y= 89%
Roviaro, 2004 [47]257/25722.5-0.853 Y= 78%, 5 Y= 64%
McVay, 2005 [28]153/1531.3181.84-
McKenna, 2006 [48]1009/10092.515.30.84.8-
Onaitis, 2006 [24]416/5001.620.21.232 Y= 77%
Swanson, 2007 [25]111/11113.59.52.7-1 Y= 91%, 2 Y= 78%
Solaini, 2008 [23]217/21712.610.1-5.8-
Shapiro, 2009 [49]113/113-25.70.94-
Kim, 2010 [50]548/7045.19.11.661 Y= 97%, 3 Y= 95%
Tab.1  Outcomes in large series of video-assisted thoracoscopic lobectomy patients
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