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- Title
The Surgical Renaissance: Advancements in Video-Assisted Thoracoscopic Surgery and Robotic-Assisted Thoracic Surgery and Their Impact on Patient Outcomes.
- Authors
Pan, Jennifer M.; Watkins, Ammara A.; Stock, Cameron T.; Moffatt-Bruce, Susan D.; Servais, Elliot L.
- Abstract
Simple Summary: Lung cancer treatment often involves surgical resection. Traditional resection involves a large thoracotomy incision to access the chest cavity. However, thoracotomy has become less common since the introduction of minimally invasive surgery (MIS). Minimally invasive surgery includes video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracic surgery (RATS) and involves small incisions to accomplish the same operation. MIS techniques have improved patient outcomes compared to thoracotomy. Patients recover faster in the hospital, have fewer complications and less pain, and return to baseline function faster. These techniques have now become the standard of care for lung cancer resection. Minimally invasive thoracic surgery has advanced the treatment of lung cancer since its introduction in the 1990s. Video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracic surgery (RATS) offer the advantage of smaller incisions without compromising patient outcomes. These techniques have been shown to be safe and effective in standard pulmonary resections (lobectomy and sub-lobar resection) and in complex pulmonary resections (sleeve resection and pneumonectomy). Furthermore, several studies show these techniques enhance patient outcomes from early recovery to improved quality of life (QoL) and excellent oncologic results. The rise of RATS has yielded further operative benefits compared to thoracoscopic surgery. The wristed instruments, neutralization of tremor, dexterity, and magnification allow for more precise and delicate dissection of tissues and vessels. This review summarizes of the advancements in minimally invasive thoracic surgery and the positive impact on patient outcomes.
- Subjects
VIDEO-assisted thoracic surgery; SURGICAL robots; MORTALITY; PATIENT safety; THORACIC surgery; EVALUATION of medical care; MINIMALLY invasive procedures; LUNG tumors; QUALITY of life; PNEUMONECTOMY
- Publication
Cancers, 2024, Vol 16, Issue 17, p3086
- ISSN
2072-6694
- Publication type
Article
- DOI
10.3390/cancers16173086