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The era of minimally invasive surgery for lung cancer follows decades of research; the collection and interpretation of countless qualitative and quantitative data points; and tireless efforts by a few pioneering thoracic surgeons who believed they could deliver a safe and oncologically sound operation with less tissue trauma, an improved physiologic profile, and fewer complications than traditional open surgery. This review highlights those efforts and the role of minimally invasive surgery for early-stage lung cancer in light of evolving technology, the emerging understanding of the biology of early-stage lung cancer, and lung cancer screening., Reimagining Lung Cancer Treatment In 1933, Dr. Evarts Graham reported the first successful pneumonectomy for lung cancer at Barnes Hospital in St. Louis, Missouri, using a tourniquet technique, and he [...]

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jtcvs.2009.02.009 Byline: Mark Shapiro (a), Todd S. Weiser (b), Juan P. Wisnivesky (c), Cynthia Chin (b), Michael Arustamyan (b), Scott J. Swanson (d) Abbreviations: NSCLC, non-small cell lung cancer; VATS, video-assisted thoracic surgery Abstract: As thoracoscopic lobectomy becomes widely applied for treatment of non-small cell lung cancer, thoracoscopic segmentectomy remains controversial for patients with small stage I lung cancers. Questions remain regarding safety, morbidity, mortality, and recurrence rate. This study compared outcomes between thoracoscopic segmentectomy and lobectomy. Author Affiliation: (a) Department of Surgery, The Mount Sinai Medical Center, New York, NY (b) Division of Thoracic Surgery, The Mount Sinai Medical Center, New York, NY (c) Department of Medicine, The Mount Sinai Medical Center, New York, NY (d) Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Mass Article History: Received 25 October 2008; Revised 18 December 2008; Accepted 1 February 2009

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jtcvs.2007.02.015 Byline: Daniel G. Nicastri (a), Maoxin Wu (b), Jaime Yun (c), Scott J. Swanson (c) Abstract: Dissection to accommodate bulky stapling devices may cause injury to pulmonary arteries in thoracoscopic lobectomies. The Harmonic Ace (Ethicon Endo-Surgery, Inc; Cincinnati, Ohio), a small ultrasonic scalpel used in systemic vessels, was tested on pulmonary vessels in pigs. Author Affiliation: (a) Department of Surgery, Mount Sinai Medical Center, New York, NY (b) Department of Pathology, Mount Sinai Medical Center, New York, NY (c) Department of Thoracic Surgery, Mount Sinai Medical Center, New York, NY. Article History: Received 28 November 2006; Revised 7 February 2007; Accepted 12 February 2007 Article Note: (footnote) Ethicon Endo-Surgery, Inc (Cincinnati, Ohio) provided funding for this project. The Harmonic Ace and power source were donated for use with this project. The authors had full control of the design of the study, methods used, outcome parameters, analysis of the data, and production of the written report.

Malignant pleural and pericardial effusions are a common problem in the treatment of patients with lung cancer, breast cancer, or lymphoma and may occur with any malignancy. These effusions are [...]

Study objective: The objective of the study was to investigate the impact of video-assisted thoracic surgery (VATS) on age-related morbidity and mortality for thoracic surgical procedures. Design: Prospective data were [...]

The intrathoracic staging of lung cancer involves assessment of the primary tumor and potential sites of metastases. Imaging studies of the chest are sensitive in detecting intrathoracic abnormalities, but specific [...]

Hasan F Batirel, MD; Lester Kobzik, MD; Charlotte McKee, MD; John J Reilly, MD; Steven J Mentzer, MD; David J Sugarbaker, MD and Scott J Swanson, MD(*). Thoracic Surgery, Brigham [...]

Role of Thoracoscopy in Diagnosis and Therapy Objectives: The solitary pulmonary nodule remains a common clinical problem. The essential question is whether the lesion is malignant or not. This discussion [...]

To understand the size of the aging population in the United States, the imminent need to include the elderly in clinical studies on lung cancer, and the safe potential of [...]

The definition of a standard therapy for resectable esophageal cancer remains a clinical controversy. In the past decade, a variety of strategies have been developed in an attempt to improve [...]

The development of lung cancer and emphysema is associated with the destructive chemical milieu that occurs with smoking. The recent interest in lung volume reduction surgery (LVRS) has stimulated a [...]

A 57-year-old man with dysphagia was found to have a distal esophageal cancer. The tumor was staged radiographically (with endoesophageal ultrasonography) and operatively. The latter consisted of a thoracoscopic examination [...]