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(Chest. 1998;113:6S-12S.)
© 1998 American College of Chest Physicians

The Role of Thoracoscopy in Lung Cancer Management

Rodney J. Landreneau MD, FCCP1; Michael J. Mack MD2; Robert D. Dowling MD, FCCP3; James D. Luketich MD4; Robert J. Keenan MD4; Peter F. Ferson MD4; and Stephen R. Hazelrigg MD5

1 From the Allegheny University of the Health Sciences, Pittsburgh
2 From Medical City-Dallas, Dallas
3 From the University of Louisville, Louisville, Ky
4 From the University of Pittsburgh, Springfield
5 From the University of Southern Illinois Medical School, Springfield

Video-assisted thoracic surgery (VATS) has enabled more complex procedures previously requiring thoracotomy to be accomplished in lung cancer management. VATS today can be employed in the evaluation of idiopathic (and known) malignant pleural effusions, mediastinal adenopathy, indeterminate pulmonary nodules, and compromise resection and lobectomy of peripheral stage I non-small cell lung cancer. Thus, VATS is becoming an accepted approach to a variety of intrathoracic problems, although its absolute indications for patients with lung cancer have yet to be firmly defined. This article reviews the authors' current experience with VATS procedures in the treatment of patients with lung cancer.






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Copyright © 1998 by the American College of Chest Physicians.