title: Surgical Treatment of Early l Stage Lung Cancer: What has Changed and What will Change in the Future.
abstract: Recent 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.
authors.affiliation: Department of Cardiothoracic Surgery, NYU School of Medicine, New York, New York.
authors.forename: Huan H
authors.initials: HH
authors.lastname: Sun
authors.affiliation: Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: Joanna
authors.initials: J
authors.lastname: Sesti
authors.affiliation: Department of Cardiothoracic Surgery, NYU School of Medicine, New York, New York.
authors.forename: Jessica S
authors.initials: JS
authors.lastname: Donington
mesh_terms: D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology* / Q000601:surgery*; D005544:Forecasting; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000601:surgery*; D011013:Pneumonectomy; D065287:Robotic Surgical Procedures / Q000639:trends; D020775:Thoracic Surgery, Video-Assisted / Q000639:trends