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Establishment of Minimally Invasive Thoracic Surgery Program

  • Cho, Jong Ho (Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2021.06.10
  • Accepted : 2021.07.16
  • Published : 2021.08.05

Abstract

The establishment of minimally invasive surgery is a complex and difficult task. Video-assisted thoracic surgery (VATS) refers to a minimally invasive surgical technique that represents a less invasive approach to thoracic surgery using thoracoscopy. For lung cancer or esophageal cancer surgery, planning and establishing a team for minimally invasive surgery for the first time is not a simple task. Technical advances in surgical devices and the enhanced skill of surgeons are cornerstones of the development of minimally invasive surgery. Here, we review the meaning of minimally invasive thoracic surgery and discuss how to establish a team approach for VATS procedures.

Keywords

References

  1. Nwogu CE, D'Cunha J, Pang H, et al. VATS lobectomy has better perioperative outcomes than open lobectomy: CALGB 31001, an ancillary analysis of CALGB 140202 (Alliance). Ann Thorac Surg 2015;99:399-405. https://doi.org/10.1016/j.athoracsur.2014.09.018
  2. Swanson SJ, Herndon JE 2nd, D'Amico TA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802: a prospective, multi-institution feasibility study. J Clin Oncol 2007;25:4993-7. https://doi.org/10.1200/JCO.2007.12.6649
  3. Yan TD, Black D, Bannon PG, McCaughan BC. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol 2009;27:2553-62. https://doi.org/10.1200/JCO.2008.18.2733
  4. Solli P, Bertolaccini L, Droghetti A, et al. 2016 Annual report from the Italian VATS Group. Future Oncol 2018;14(6s):23-8.
  5. Boffa DJ, Kosinski AS, Furnary AP, et al. Minimally invasive lung cancer surgery performed by thoracic surgeons as effective as thoracotomy. J Clin Oncol 2018;36:2378-85. https://doi.org/10.1200/JCO.2018.77.8977
  6. Liang C, Wen H, Guo Y, et al. Severe intraoperative complications during VATS lobectomy compared with thoracotomy lobectomy for early stage non-small cell lung cancer. J Thorac Dis 2013;5:513-7. https://doi.org/10.3978/j.issn.2072-1439.2013.08.13
  7. Edmondson A, Bohmer R, Pisano G. Speeding up team learning. Harv Bus Rev 2001;79:125-32.
  8. Melfi FM, Menconi GF, Mariani AM, Angeletti CA. Early experience with robotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg 2002;21:864-8. https://doi.org/10.1016/S1010-7940(02)00102-1
  9. Moller T, Egberts JH, Eichhorn M, et al. Current status and evolution of robotic-assisted thoracic surgery in Germany: results from a nationwide survey. J Thorac Dis 2019;11:4807-15. https://doi.org/10.21037/jtd.2019.10.48
  10. Zirafa CC, Romano G, Key TH, Davini F, Melfi F. The evolution of robotic thoracic surgery. Ann Cardiothorac Surg 2019;8:210-7. https://doi.org/10.21037/acs.2019.03.03
  11. Lim CG, Shin KM, Lim JS, et al. Predictors of conversion to thoracotomy during video-assisted thoracoscopic surgery lobectomy in lung cancer: additional predictive value of FDG-PET/CT in a tuberculosis endemic region. J Thorac Dis 2017;9:2427-36. https://doi.org/10.21037/jtd.2017.07.40
  12. Samson P, Guitron J, Reed MF, Hanseman DJ, Starnes SL. Predictors of conversion to thoracotomy for video-assisted thoracoscopic lobectomy: a retrospective analysis and the influence of computed tomography-based calcification assessment. J Thorac Cardiovasc Surg 2013;145:1512-8. https://doi.org/10.1016/j.jtcvs.2012.05.028
  13. Dunning J, Walker WS. How to set up a VATS lobectomy program. Ann Cardiothorac Surg 2012;1:43-6. https://doi.org/10.3978/j.issn.2225-319X.2012.03.02
  14. Puri V, Patel A, Majumder K, et al. Intraoperative conversion from video-assisted thoracoscopic surgery lobectomy to open thoracotomy: a study of causes and implications. J Thorac Cardiovasc Surg 2015;149:55-62. https://doi.org/10.1016/j.jtcvs.2014.08.074