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Related Concept Videos

Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
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Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due to...

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Related Experiment Video

Updated: Jun 4, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
11:17

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

Thoracoscopic versus open lobectomy debate: the pro argument.

Frank Detterbeck1

  • 1Yale University, Department of Thoracic Surgery, New Haven, CT, United States.

Thoracic Surgical Science
|February 4, 2011
PubMed
Summary

Video-assisted thoracic surgery (VATS) lobectomy for lung cancer is safe, with fewer complications and less pain than open surgery. Long-term survival shows no significant difference, making VATS a viable option for lung cancer treatment.

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Last Updated: Jun 4, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Published on: February 27, 2026

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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pulmonology

Background:

  • The role of video-assisted thoracic surgery (VATS) lobectomy for lung cancer remains debated, especially in Europe.
  • VATS lobectomy is performed less frequently in Europe compared to the USA and Japan.

Purpose of the Study:

  • To review existing data comparing VATS lobectomy with open lobectomy for lung cancer treatment.
  • To provide a scientific basis for assessing the efficacy of VATS lobectomy.

Main Methods:

  • Systematic review and meta-analysis of 36 trials (including 3 randomized) with 3589 patients (1995-2007).
  • Analysis of major and minor endpoints on an intent-to-treat basis.
  • Data extracted from Cheng et al. (2007) meta-analysis, reporting mean values with 95% confidence intervals and Odds Ratios.

Main Results:

  • VATS lobectomy had a slightly longer operative time (16 minutes) and a 6% conversion rate to open surgery.
  • VATS was associated with significantly fewer general and pulmonary complications, reduced postoperative pain, and better functional outcomes.
  • No significant differences were observed in major bleeding, transfusion, re-operation, survival rates (1, 3, and 5 years), or mediastinal staging accuracy.

Conclusions:

  • VATS lobectomy for non-small cell lung cancer (NSCLC) is safe, leading to fewer complications, less pain, and faster recovery.
  • Long-term survival appears similar or slightly improved with VATS lobectomy compared to open procedures.
  • Despite limitations in the proportion of randomized trials, this meta-analysis represents the best available evidence for VATS lobectomy's value.