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Ann Thorac Surg 2002;73:904
© 2002 The Society of Thoracic Surgeons

Invited commentary

Donald E. Low, MDa

a Department of Surgery, Virginia Mason Clinic, 1100 Ninth Ave, Seattle, WA 98111-0900 USA

e-mail: gtsdel@vmmc.org

There are an increasing number of publications documenting the technical feasibility of video-assisted or thoracoscopic lobectomy. Typically these reports involve highly selected patients and originate in centers with significant experience in general thoracic and video-assisted surgery. Analysis of the collective publications on video assisted thoracic surgery (VATS) lobectomy indicate mortality rates of 0% to 2%, conversion rates of 0% to 25%, complications of 10% to 30%, and reports of "lymph node dissection" in up to 50% of cases.

Early outcome assessments of video-assisted lobectomy have suggested improved levels of pain, pulmonary function, and cytokine production, as well as suggesting potential benefits in cost and patient satisfaction. Retrospective comparisons have also indicated similar survival rates in patients with early stage lung cancer. On the other hand, there are separate reports, which have raised concerns regarding the increased propensity of tumor seeding both locally in the chest . . . [Full Text of this Article]


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Ann. Thorac. Surg. 2002 73: 900-904. [Abstract] [Full Text] [PDF]





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