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Semin Respir Crit Care Med 2013; 34(06): 855-866
DOI: 10.1055/s-0033-1358557
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Advances in Surgical Techniques in Non-Small Cell Lung Cancer

Anthony W. Kim
1   Section of Thoracic Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut
,
Frank C. Detterbeck
1   Section of Thoracic Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut
› Author Affiliations
Further Information

Publication History

Publication Date:
20 November 2013 (online)

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Abstract

Thoracic surgery is a dynamic field, and many scientific, technological, technical, and organizational changes are occurring. A prominent example is the use of less invasive approaches to major resection of non–small cell lung cancer (NSCLC), both thoracoscopic and robotic. Sophisticated technology corroborated by clinical data has led to these approaches becoming accepted additions to the armamentarium. Additionally, improvements in perioperative pain management have also contributed to dramatically changing the experience of patients who undergo modern thoracic surgery. Lung cancer is being detected more often at an early stage. At the same time, advances in techniques, patient care, clinical science, and multidisciplinary treatment support an increased role for aggressive resection in the face of larger locally advanced tumors or for those with limited metastatic disease. These advances, conducted in the setting of multidisciplinary decision making, have resulted in real and palpable advancements for patients with lung cancer.

Keywords

multidisciplinary care - thoracoscopic lobectomy - robotic surgery - minimally invasive lung surgery - sublobar resection - brachytherapy - pain management
 

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