Approaches to the chest cavity and pulmonary resections. Issue 3 (March 2023)

• Record Type: Journal Article
• Authors: Waterhouse, Benjamin R.; Paul, Ian
• Is Part Of: Surgery. Volume 41:Issue 3(2023)
• Page Start: 160
• Page End: 169
• Publication Date: 2023-03
• Subjects: Lobectomy -- lung resections -- RATS -- robotic surgery -- segmentectomy -- thoracotomy -- VATS; Surgery -- Periodicals; Surgery -- Periodicals; Chirurgie -- Périodiques; Thérapeutique -- Périodiques; Electronic journals; 617
• DOI: 10.1016/j.mpsur.2023.01.001
• Languages: English
• ISSNs: 0263-9319

Abstract

Abstract: Thoracic surgical practice has changed dramatically over recent decades. A major shift in emphasis is towards increasing adoption of minimally invasive approaches. Video-assisted thoracoscopic surgery (VATS) lobectomy is now the most common approach across the UK for lung cancer surgery. However, over the last 5 years there has been rapid adoption of robot-assisted thoracic surgery (RATS). This article summarizes the clinically orientated anatomy of the thoracic cavity, particularly in relation to surgical landmarks. Common surgical approaches in thoracic surgery will also be reviewed, from traditional thoracotomy to minimally invasive approaches including standard VATS and RATS procedures, as well as more novel techniques including uniportal and subxiphoid VATS. A detailed description of the technical aspects of pulmonary lobectomy and pneumonectomy are provided along with perioperative considerations.