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Updated: Jul 8, 2026
11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Video-assisted thoracic surgery (VATS) lobectomy: 13 years' experience
Miguel Congregado1, Rafael Jimenez Merchan, Gregorio Gallardo
1Department of General and Thoracic Surgery, Hospital Universitario Virgen Macarena, Avda. Dr. Fedriani 1, 41071, Seville, Spain. miguelcongregado@wanadoo.es
Surgical Endoscopy
|December 25, 2007
Summary
Video-assisted thoracic surgery (VATS) lobectomy is a safe and effective procedure for lung cancer, meeting oncological standards. Our experience shows VATS is ideal for specific benign conditions and early-stage lung cancers.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Video-assisted thoracic surgery (VATS) lobectomy is safe and feasible but not widely adopted.
- This study presents the technique, experience, and outcomes of VATS lobectomy.
Purpose of the Study:
- To demonstrate the technique for VATS lobectomy.
- To report the experience and outcomes of VATS lobectomy.
Main Methods:
- Retrospective review of patients undergoing major pulmonary resection via VATS.
- Data collected included patient demographics, surgical details, complications, and outcomes.
- Surgical technique for each lobectomy was described.
Main Results:
- 237 major pulmonary resections performed (203 males, 34 females), mean age 61.43.
- Overall conversion rate was 14.01%; mean operative time 153 min; mean postoperative stay 4.2 days.
- Morbidity rate 15.18% (mostly minor), perioperative mortality 3.7%, 5-year survival 77.7%.
Conclusions:
- VATS lobectomy is a viable and safe procedure for lung cancer surgery, meeting oncological criteria.
- VATS is indicated for select benign processes and early-stage (T1-T2 N0 M0) lung cancers.
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