Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (6): 992-997.doi: 10.3969/j.issn.1006-7795.2015.06.029

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Minimally invasive surgery to treat early lung cancer

Zhang Yi, Zhi Xiuyi   

  1. Department of Thoracic Surgey, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2015-11-18 Online:2015-12-21 Published:2015-12-18

Abstract: With the continuous development and maturity of video-assisted thoracoscopic technology, nearly 20 years of thoracoscopic operation has become the main mode of minimally invasive operation on early stage lung cancer. Studies show that for peripheral lung cancer less than 3 cm removed by video-assisted thoracoscopic(VATS) lobectomy, there were no significant differences in operation success rate, mortality, recurrence and survival, compared with conventional open surgeries, and operation time, postoperative complications, and 1 years survival rates had no significant differences. There were no significant differences between numbers of hilar and mediastinal lymph nodes dissected among VATS and conventional surgery groups. Comparing thoracoscopic segmentectomy with thoracoscopic surgery in patients with small-sized( < 2 cm) stage Ia non-small cell lung cancer, no significant difference was observed in 5-year overall survival(79.9% vs 81.0%) or disease-free survivals(59.4% vs 64.2%). Recently Da Vinci robotic system for lobectomy became another new method of minimally invasive treatment for lung cancer.

Key words: minimally invasive surgery, video-assissted thoracoscopic surgery, early stage lung cancer

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