Section 2 Surgical Advances

**11**

**Chapter 2**

Cancer

**Abstract**

advanced lung cancer.

thoracic surgery

**1. Introduction**

period of the patients [2].

The Role of Minimally Invasive

*Güntuğ Batihan and Kenan Can Ceylan*

Surgery in the Treatment of Lung

Lobectomy plus regional lymph node dissection remains the gold standard treatment method in early-stage lung cancer. However, with the demonstration of the safety and efficacy of minimally invasive approaches, the expression of surgery in this statement, replaced by thoracoscopic anatomical lung resection. Clinical studies have demonstrated the superiority of VATS in terms of postoperative pain, drainage time, length of hospital stay, and complications, moreover, long-term oncologic results are similar or better than thoracotomy. Therefore, VATS lobectomy is the preferred surgical method in early-stage lung cancer. Different surgical techniques are available in VATS and can be modified according to the surgeon's personal experience. Uniport can be applied as well as two or three port incisions. In this book section, I plan to focus on VATS lobectomy, technique-related tricks, complication management, and long-term oncologic results in early and locally

**Keywords:** Lobectomy, minimally invasive surgery, robotic surgery, video-assisted

Lung cancer is the most common cancer and the leading cause of cancer death in both genders [1]. Its high frequency and high mortality increase the importance of early diagnosis and treatment in this disease. Despite promising recent advances in diagnosis and treatment methods, only a minority of patients have a cure chance. Resection of the primary tumor and mediastinal lymph node dissection/sampling is the gold standard treatment method in this group of patients. However, in these patients, lung resection was performed by open thoracotomy until the end of the '90s, regardless of the size of the tumor and the extent of cancer. Severe postoperative pain and long hospitalization and drainage periods could prolong the recovery

Following the technological developments include high-definition video monitors, robot-assisted technology, specialized thoracoscopic surgical instruments, and endomechanical stapling devices, the emergence of modern imaging systems and the use of appropriate surgical equipment has created the concept of "minimally invasive surgery". In the early 2000s, patient series including Video-assisted thoracic surgery (VATS) applications began to be published. This and many subsequent studies have demonstrated the superiority of VATS over a thoracotomy in terms of less

## **Chapter 2**
