• Huan H Sun, Joanna Sesti, and Jessica S Donington.
• Department of Cardiothoracic Surgery, NYU School of Medicine, New York, New York.
• Semin Respir Crit Care Med. 2016 Oct 1; 37 (5): 708-715.

AbstractRecent advances in the surgical treatment of early stage non-small cell lung cancer (NSCLC) have focused heavily on making procedures less invasive, less radical, and better tolerated. Advances in accuracy and increased utilization of cross-sectional imaging allows for diagnosis of smaller and more indolent tumors and preinvasive lesions. Similar to advanced disease, early-stage treatment is now being tailored to individual patients and their tumors. Sublobar resections are gaining acceptance as an oncologically equivalent approach to lobectomy in well-selected stage I patients. Minimally invasive approaches either by video-assisted thoracoscopic surgery (VATS) or robotic-assisted thoracic surgery are becoming the procedures of choice for anatomic NSCLC resections and provide decreased perioperative complications and increased tolerability, especially in the elderly and medically high-risk patients. Reports of even less invasive techniques including uniportal VATS and nonintubated lobar resections are now appearing in the literature.Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

29 keywords...

hide…