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Ann Thorac Surg 2000;70:247
© 2000 The Society of Thoracic Surgeons

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Invited commentary

Invited commentary

^a Department of Thoracic Surgery, Royal Infirmary of Edinburgh, Lauriston Pl, Edinburgh, Scotland EH3 9YW, United Kingdom

e-mail: wsw@holyrood.ed.ac.uk

Major pulmonary resection using video-assisted thoracic surgery (VATS) techniques has been an option available to thoracic surgeons for some years but take up has been modest. This probably reflects a combination of different concerns related to technical difficulty, perioperative risk and, perhaps most importantly, long term outcome in cancer cases. These concerns are perfectly reasonable and it makes good sense to observe the evolution of a new operative strategy before opting to change from established practice and known outcomes.

Gradually, the evidence supporting VATS major pulmonary resection is increasing. Early fears regarding perioperative safety have proved groundless as many authors report low surgical morbidity and mortality and there seems little doubt that immediate and late postoperative pain . . . [Full Text of this Article]

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