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[Guidelines in minimal invasive surgery in oncologic thoracic surgery]
1Abteilung für Herz-Thoraxchirurgie, Universitätsklinik für Chirurgie, Wien.
Langenbecks Archiv Fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1997
Summary
Video-assisted thoracoscopic surgery (VATS) has advanced significantly, enabling numerous procedures. While beneficial for benign diseases and lung cancer staging, its use in major lung resections like lobectomy remains controversial.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Pulmonary Medicine
Context:
- The evolution of video-assisted thoracoscopic surgery (VATS) over the last seven years has expanded its technical feasibility.
- VATS is increasingly utilized for benign conditions, lung cancer staging, biopsies, and managing pleural/pericardial effusions.
Purpose:
- To review the current applications and limitations of VATS in thoracic surgery.
- To delineate the established indications and controversial areas of VATS procedures.
Summary:
- VATS is now feasible for various thoracic procedures, including pre-resectional staging of lung cancer, biopsies of pulmonary and extrapulmonary lesions, and management of effusions.
- Established indications include wedge resections, pleurodesis, and pericardial window creation.
- The application of VATS for metastasectomy, lobectomy, and pneumonectomy is currently debated, lacking clear guidelines.
Impact:
- Highlights the expanding role of VATS in thoracic surgery.
- Identifies areas where VATS application requires further investigation and evidence.
- Provides a concise overview for clinicians considering VATS procedures.