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Ann Thorac Surg 1993;56:762-768
© 1993 The Society of Thoracic Surgeons
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, and University Thoracic Surgical Service, St. Peter's Medical Center, Robert Wood Johnson University Hospital, New Brunswick, New Jersey USA
* Address reprint requests to Dr Lewis, 185 Livingston Ave, New Brunswick, NJ 08901.
Despite a plethora of technologic advances, there has been only minimal improvement in the surgical treatment of carcinoma of the lung during the past 15 years. The advent of video-assisted thoracic surgical (VATS) techniques, however, is opening up new vistas and providing unimagined options for more accurate diagnosis, more precise staging, and more specific resections of lung tumors. Currently, a voluminous surgical literature supports tissue conservation, in selected patients, for the curative resection of peripheral malignant nodules less than 2 cm in diameter. Because these lesions are very accessible to a VATS resection, such procedures can be satisfactorily performed to meet the individual needs of the patient (ie, wedge, subsegmental, segmental, and sublobar resections, as well as traditional or SIS-lobectomy [simultaneous individual stapling of hilar structures]). As the technology advances, members of other specialties are beginning to develop a keen interest in the treatment of carcinoma of the lung. If thoracic surgeons are to prevail in the treatment of carcinoma of the lung, for the benefit of their patients, they must remain vigilant, informed, and versatile in their approach to this disease. This involves learning, understanding, and incorporating these new technologic advances into their armamentarium.
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