Surgical Management of Patients Considered Marginally Resectable
Summary of Key Points • Up to 25% of patients with stage I nonsmall cell lung cancer are considered medically inoperable or high risk for surgery. • Therapies such as…
Multiple Nodules: Management of Synchronous and Metachronous Lung Cancers
Summary of Key Points • Multiple primary lung cancers (MPLCs) are increasing in incidence as imaging accuracies improve and resections are better tolerated. • Differentiating MPLCs from intrathoracic metastatic disease…
Extent of Surgical Resection for Stage I and II Lung Cancer
Summary of Key Points • With the realization that many more lung cancers are being detected, which may not only be indolent but also smaller than 2 cm, thoracic surgeons…
Extended Resections for Lung Cancer: Chest Wall and Pancoast Tumors
Summary of Key Points Chest Wall: • Invasion of parietal pleura and chest wall indicates T3; involvement of vertebral body indicates T4 chest wall tumor. • Extensive resection required. •…
Extended Resections for Lung Cancer: Bronchovascular Sleeve Resections
Summary of Key Points • Bronchovascular sleeve resection is an essential technique for general thoracic surgeons to preserve as much as possible the patient’s lung function and quality of life…
Robotic Surgery: Techniques and Results for Resection of Lung Cancer
Summary of Key Points • Robotic surgery can be used for completely portal (no utility incision) or robotic-assisted (uses utility incision) techniques. • Appropriate patient and port positioning are critical…
The Eighth Edition of the Tumor, Node, and Metastasis Classification of Lung Cancer
Summary of Key Points • Size counts: From less than or equal to 1-cm to less than or equal to 5-cm tumor size, every centimeter has prognostic impact and separates…
Results of Video-Assisted Techniques for Resection of Lung Cancer
Summary of Key Points • Many meta-analyses, outcomes and matched cohort studies demonstrate equal long-term outcomes for video-assisted thoracoscopic surgery (VATS) and open lobectomy. • Matched comparisons generally demonstrate equal…
Preoperative and Intraoperative Invasive Staging of the Mediastinum
Summary of Key Points • Staging of the mediastinum is a key component in the evaluation of patients with lung cancer and includes both preoperative and intraoperative components. • The…
Preoperative Functional Evaluation of the Surgical Candidate
Summary of Key Points • Predicted postoperative forced expiratory volume in 1 second (ppoFEV 1 ) has been shown to be inaccurate in predicting actual postoperative FEV 1 in patients…
