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EDITORIAL

The Future of Thoracoscopic Lobectomy in Lung Cancer

Joo Hyun Kim, MD, Chang Hyun Kang, MD

Seoul, South Korea

Joo Hyun Kim, MD Email: jhkim10@snu.ac.kr

The first 20% of the full text of this article appears below.

Various methods have been proposed and used for anatomical lung resection since the development of lung surgery. Among the many procedures performed by thoracic surgeons, the posterolateral thoracotomy has been considered the standard incision for anatomical lung resection. The posterolateral thoracotomy provides a superb surgical field for the lung and posterior mediastinum. However, the posterolateral thoracotomy has several major disadvantages. The procedure per se results in significant destruction of chest wall structures. It requires division of the latissimus dorsi or serratus anterior muscle, spreading of ribs, and intentional or unintentional rib fractures. All of the injuries incurred during a posterolateral thoracotomy result in destruction of the respiratory mechanics of the chest wall and are accompanied by severe postoperative pain. In the early period of thoracic surgery, these adverse effects were considered inevitable because no other options for anatomical lung resection existed at that time. On the other hand, current trends in medical practice focus on different aspects of treatment. Although the treatment of primary disease (surgical cure of lung cancer) is of utmost importance in our practice, avoidance of adverse effects caused by the treatment has also been emphasized. Fast recovery and improved quality of life after surgery have now became . . . [Full Text of this Article]

Asian Cardiovasc Thorac Ann 2009; 17:131-132
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102257




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