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Semin Respir Crit Care Med 2016; 37(05): 708-715
DOI: 10.1055/s-0036-1592173
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Treatment of Early l Stage Lung Cancer: What has Changed and What will Change in the Future

Huan H. Sun
1   Department of Cardiothoracic Surgery, NYU School of Medicine, New York, New York
,
Joanna Sesti
2   Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
,
Jessica S. Donington
1   Department of Cardiothoracic Surgery, NYU School of Medicine, New York, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
12 October 2016 (online)

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Abstract

Recent advances in the surgical treatment of early stage non-small cell lung cancer (NSCLC) have focused heavily on making procedures less invasive, less radical, and better tolerated. Advances in accuracy and increased utilization of cross-sectional imaging allows for diagnosis of smaller and more indolent tumors and preinvasive lesions. Similar to advanced disease, early-stage treatment is now being tailored to individual patients and their tumors. Sublobar resections are gaining acceptance as an oncologically equivalent approach to lobectomy in well-selected stage I patients. Minimally invasive approaches either by video-assisted thoracoscopic surgery (VATS) or robotic-assisted thoracic surgery are becoming the procedures of choice for anatomic NSCLC resections and provide decreased perioperative complications and increased tolerability, especially in the elderly and medically high-risk patients. Reports of even less invasive techniques including uniportal VATS and nonintubated lobar resections are now appearing in the literature.

Keywords

lung cancer - early stage - sublobar resection - minimally invasive surgery
 

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