Modern radical resection for lung cancer; a critique on the video-assisted radical resection

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Abstract

The modern radical resection for the lung cancer consists of the parenchymal lung resection at least by tumor-bearing lobe and hilar/mediastinal lymph node dissection. For minimally invasive intent, the curative resection is being performed under video-thoracoscopy. The relative advantage over the conventional procedure under thoracotomy has yet to be defined in terms of operative indicators, postoperative pain, safety, cost, and so on. No previous study has ever clearly described the significant difference between these 2 procedures. The present thoracotomy-based radical resection has been fully down-sized together with advanced instrumentations, and the perioperative parameters between 2 procedures remained minimal. The evidence-based advantage of video-assisted radical resection needs to be addressed. Since their differences are solely concerned about the route of the approach into the thoracic cavity, the oncological difference reasonably does not seem to exist.

Original languageEnglish
Pages (from-to)710-713
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery.
Volume59
Issue number8 Suppl
Publication statusPublished - 2006 Jul
Externally publishedYes

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Lung Neoplasms
Thoracotomy
Thoracic Cavity
Thoracoscopy
Postoperative Pain
Lymph Node Excision
Safety
Costs and Cost Analysis
Lung
Neoplasms

Cite this

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title = "Modern radical resection for lung cancer; a critique on the video-assisted radical resection",
abstract = "The modern radical resection for the lung cancer consists of the parenchymal lung resection at least by tumor-bearing lobe and hilar/mediastinal lymph node dissection. For minimally invasive intent, the curative resection is being performed under video-thoracoscopy. The relative advantage over the conventional procedure under thoracotomy has yet to be defined in terms of operative indicators, postoperative pain, safety, cost, and so on. No previous study has ever clearly described the significant difference between these 2 procedures. The present thoracotomy-based radical resection has been fully down-sized together with advanced instrumentations, and the perioperative parameters between 2 procedures remained minimal. The evidence-based advantage of video-assisted radical resection needs to be addressed. Since their differences are solely concerned about the route of the approach into the thoracic cavity, the oncological difference reasonably does not seem to exist.",
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AB - The modern radical resection for the lung cancer consists of the parenchymal lung resection at least by tumor-bearing lobe and hilar/mediastinal lymph node dissection. For minimally invasive intent, the curative resection is being performed under video-thoracoscopy. The relative advantage over the conventional procedure under thoracotomy has yet to be defined in terms of operative indicators, postoperative pain, safety, cost, and so on. No previous study has ever clearly described the significant difference between these 2 procedures. The present thoracotomy-based radical resection has been fully down-sized together with advanced instrumentations, and the perioperative parameters between 2 procedures remained minimal. The evidence-based advantage of video-assisted radical resection needs to be addressed. Since their differences are solely concerned about the route of the approach into the thoracic cavity, the oncological difference reasonably does not seem to exist.

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