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Minimally Invasive Surgery
Volume 2015, Article ID 938430, 6 pages
Review Article

The Role of VATS in Lung Cancer Surgery: Current Status and Prospects for Development

Department of Thoracic Surgery, National Research Institute of Chest Diseases, Warsaw, Poland

Received 26 May 2015; Accepted 21 July 2015

Academic Editor: Stephen Kavic

Copyright © 2015 Dariusz Dziedzic and Tadeusz Orlowski. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Since the introduction of anatomic lung resection by video-assisted thoracoscopic surgery (VATS) 20 years ago, VATS has experienced major advances in both equipment and technique, introducing a technical challenge in the surgical treatment of both benign and malignant lung disease. The demonstrated safety, decreased morbidity, and equivalent efficacy of this minimally invasive technique have led to the acceptance of VATS as a standard surgical modality for early-stage lung cancer and increasing application to more advanced disease. Formerly there was much debate about the feasibility of the technique in cancer surgery and proper lymph node handling. Although there is a lack of proper randomized studies, it is now generally accepted that the outcome of a VATS procedure is at least not inferior to a resection via a traditional thoracotomy.