Asian Annals
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Rafael Jimenez-Merchan
Miguel Congregado
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INVITED REVIEW

Video-Assisted Surgery for Lung Cancer. State of the Art and Personal Experience

Jesus Loscertales, MD, Rafael Jimenez-Merchan, MD, Miguel Congregado, MD, Francisco Javier Ayarra, MD, Gregorio Gallardo, MD, Ana Triviño, MD

General and Thoracic Surgery Department, Virgen Macarena University Hospital, Seville, Spain

Jesus Loscertales, MD, Tel: +34 955008205, Fax: +34 954372734, Email: jloscert{at}us.es, General and Thoracic Surgery Department, Virgen Macarena University Hospital, Av. Dr. Fedriani, 3. 41007 Seville, Spain.

This paper reviews the role of videothoracoscopy in lung cancer, highlighting its utility in definitive staging, diagnosis, and treatment. We show exploratory videothoracoscopy to be the perfect technique for last-minute staging, looking for tumor invasion, especially parietal T3 and vascular T4 (due to videopericardioscopy), management of solitary pulmonary nodules, and the possibility of radical treatment with video-assisted thoracoscopic lobectomy. We perform an overview of the literature and analyze our experience of 1,381 patients with lung cancer. In 1,277 of them, the final decision on resectability was made by exploratory videothoracoscopy, including 91 by videopericardioscopy (only 30 were considered non-resectable on videopericardioscopy). Solitary pulmonary nodules were diagnosed in 382 cases (190 were cancer), and we performed 260 major lung resections by video-assisted thoracoscopic surgery (22 pneumonectomies, 238 lobectomies/bilobectomies).

Key Words: Carcinoma • Bronchogenic • Lung Neoplasms • Pneumonectomy • Surgical Procedures • Minimally Invasive • Thoracic Surgery • Video-Assisted

Asian Cardiovasc Thorac Ann 2009; 17:313-326
© 2009 by SAGE Publications
DOI: 10.1177/0218492309104747




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