Videothoracoscopic resection for lung cancer: moving towards a “standard of care”

Treasure, Tom

doi:10.21037/jtd.2016.07.81

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…Even if many surgeons reported the true fact (26)(27)(28)(29)(30)(31), the resulting confusion from the editorial (1) has certainly misled many readers and diverted attention from the facts of our study, and more important pose historical doubts.…”

Section: Commentsmentioning

confidence: 93%

Uniportal video-assisted thoracic surgery: twentieth anniversary

Migliore

2018

J. Thorac. Dis

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Section: Commentsmentioning

confidence: 93%

Uniportal video-assisted thoracic surgery: twentieth anniversary

Migliore

2018

J. Thorac. Dis

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“…The scenario in 1997 was quite different from the one we are experiencing now, two decades later, when videothoracoscopic resections are becoming the standard of care [126]. This change in surgical approach has raised three questions concerning the feasibility of systematic nodal dissection by videothoracoscopic approach, the prognostic impact of systematic nodal dissection and sampling, and their complications.…”

Section: Intrathoracic Staging At Pulmonary Resectionmentioning

confidence: 99%

Lung cancer staging: a concise update

et al. 2018

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Diagnosis and clinical staging of lung cancer are fundamental to planning therapy. The techniques for clinical staging, anatomic and metabolic imaging, endoscopies and minimally invasive surgical procedures, should be performed sequentially and with an increasing degree of invasiveness. Intraoperative staging, assessing the magnitude of the primary tumour, the involved structures, and the loco-regional lymphatic spread by means of systematic nodal dissection, is essential in order to achieve a complete resection. In resected tumours, pathological staging, with the systematic study of the resected specimens, is the strongest prognostic indicator and is essential to make further decisions on therapy. In the present decade, the guidelines on lung cancer staging of the American College of Chest Physicians and the European Society of Thoracic Surgeons are based on the best available evidence and are widely followed. Recent advances in the classification of the adenocarcinoma of the lung, with the definition of adenocarcinoma , minimally invasive adenocarcinoma and lepidic predominant adenocarcinoma, and the publication of the eighth edition of the tumour, node and metastasis classification of lung cancer, have to be integrated into the staging process. The present review complements the latest guidelines on lung cancer staging by providing an update of all these issues.

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“…However, the open approach for a concomitant procedure also has its shortcomings, such as the risk of dissemination due to manipulation of the pulmonary lobe, mechanical stress on the cardiac chambers, more difficult radical lymph node dissection, and the risk of increasing the amount of blood loss due to heparinization (2). A minimally invasive approach for resection of early-stage lung cancers has been described and many favourable results validated (3). There is increased interest in pursuing a robotic approach as early experience indicates some potential advantages (4).…”

Section: Introductionmentioning

confidence: 99%