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Video-assisted thoracoscopic surgery lobectomy for non-small cell lung cancer

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Abstract

Since 1990s, video-assisted thoracoscopic surgery (VATS) lobectomy has become a standard procedure for early-stage non-small cell lung cancer. However, VATS lobectomies are less common, and no randomized controlled trial of VATS versus conventional open lobectomy for early-stage lung cancer has been performed in Japan. Furthermore, VATS lobectomy procedures are not standardized in Japan, and may vary by institution or by practitioner, which complicates their evaluation. Although VATS procedures (such as pneumonectomy, bronchoplasty, and chest wall resection) have been reportedly performed for patients with advanced disease, whether VATS could be a standard modality for advanced lung cancer is unclear from an oncological perspective. Until recently, VATS lobectomies commonly used three or four ports to conduct systemic lymph node dissection; however, VATS lobectomies with reduced port have been recently reported. This article reviews current trends in VATS lobectomy procedures.

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Funding

This study was not supported by a sponsor or funding agency.

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Authors and Affiliations

  1. Department of Thoracic Surgical Oncology, Cancer Institute Hospital, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Mingyon Mun, Masayuki Nakao, Yosuke Matsuura, Junji Ichinose, Ken Nakagawa & Sakae Okumura

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  1. Mingyon Mun
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  2. Masayuki Nakao
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  3. Yosuke Matsuura
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  4. Junji Ichinose
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  5. Ken Nakagawa
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  6. Sakae Okumura
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Correspondence to Mingyon Mun.

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Mun, M., Nakao, M., Matsuura, Y. et al. Video-assisted thoracoscopic surgery lobectomy for non-small cell lung cancer. Gen Thorac Cardiovasc Surg 66, 626–631 (2018). https://doi.org/10.1007/s11748-018-0979-x

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  • DOI: https://doi.org/10.1007/s11748-018-0979-x

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