Video-Assisted Thoracic Surgery: The Miami Experience

This article describes the techniques for performing a video-assisted thoracic surgery (VATS) lobectomy. Each lobe can be approached from anteriorly, posteriorly, or intralobarly. Each method is described and the advantages of each technique are discussed. The surgical results in 105 cases are presented. The VATS technique has decreased operative trauma and has shortened hospital stay with a concomitant reduction in cost to the patient and health-care provider. These advantages make VATS lobectomy an excellent alternative for excision of well localized peripheral lung cancer.