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<p>Video-assisted thoracoscopic surgery (VATS) has become established as a&#xa0;minimally invasive alternative to open thoracotomy for the treatment of non-small cell lung cancer (NSCLC). This technique offers advantages such as reduced postoperative pain, shorter hospital stays and faster recovery times. Studies show that the oncological results of VATS lobectomy are comparable to those of open surgery, especially for early stage NSCLC. The radicality of lymph node dissection, a&#xa0;crucial factor for staging and prognosis, is comparable for VATS and open surgery. The introduction of robot-assisted thoracic surgery (RATS) offers additional advantages such as improved visualization and precision, which can lead to better surgical outcomes. The use of RATS shows similar perioperative outcomes to VATS, with potentially better long-term survival rates. Postoperative pain management remains an important consideration, with VATS associated with less pain compared to open surgery. The management of postoperative inflammation is critical for the optimization of long-term outcomes. This article discusses the role of minimally invasive techniques in the treatment of lung cancer.</p>

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Minimalinvasive Lungenresektionen: technische Aspekte und onkologische Bedeutung von VATS und RATS

  • 期刊论文

  • 发表日期：

    2025年2月13日

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  • Bassam Redwan,
  • Sandra Caroline Schulte,
  • Jan Reichelt,
  • Stefan Fischer

摘要

Video-assisted thoracoscopic surgery (VATS) has become established as a minimally invasive alternative to open thoracotomy for the treatment of non-small cell lung cancer (NSCLC). This technique offers advantages such as reduced postoperative pain, shorter hospital stays and faster recovery times. Studies show that the oncological results of VATS lobectomy are comparable to those of open surgery, especially for early stage NSCLC. The radicality of lymph node dissection, a crucial factor for staging and prognosis, is comparable for VATS and open surgery. The introduction of robot-assisted thoracic surgery (RATS) offers additional advantages such as improved visualization and precision, which can lead to better surgical outcomes. The use of RATS shows similar perioperative outcomes to VATS, with potentially better long-term survival rates. Postoperative pain management remains an important consideration, with VATS associated with less pain compared to open surgery. The management of postoperative inflammation is critical for the optimization of long-term outcomes. This article discusses the role of minimally invasive techniques in the treatment of lung cancer.