title: Video-assisted surgery for lung cancer. State of the art and personal experience.
abstract: 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).
authors: General and Thoracic Surgery Department, Virgen Macarena University Hospital, 41007 Seville, Spain. jloscert@us.es
authors: Jesus
authors: J
authors: Loscertales
authors: Rafael
authors: R
authors: Jimenez-Merchan
authors: Miguel
authors: M
authors: Congregado
authors: Francisco Javier
authors: FJ
authors: Ayarra
authors: Gregorio
authors: G
authors: Gallardo
authors: Ana
authors: A
authors: Triviño
mesh_terms: D001706:Biopsy / Q000379:methods; D003952:Diagnostic Imaging; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging / Q000379:methods; D010496:Pericardium / Q000473:pathology; D011013:Pneumonectomy / Q000379:methods; D003074:Solitary Pulmonary Nodule / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted