Video-assisted thoracoscopic anatomical lung resections are increasingly used in the treatment of lung cancer. With the accumulation of surgeon experience of the indications for their use also expand. The presented review of literature reflects the main types of minimally invasive surgical interventions used in the treatment of lung cancer at the present time: uniportal and multiportal video-assisted (VATS) lobectomy, robotic (RATS) lobectomy. A comparative analysis of the frequency of postoperative complications, oncological efficiency, quality of life and economic costs from the point of view of evidence based medicine was carried out.
The use of VATS is characterized by a significantly lower number of postoperative complications and a shorter period of hospital stay compared to open lobectomy. The immediate results of RATS and VATS lobectomies are identical, which makes these techniques comparable for their application. The only advantage of uniportal VATS is a less pronounced pain syndrome, which requires the use of smaller doses of non-steroidal anti-inflammatory drugs.
In developed countries VATS and RATS are characterized by a significantly lower cost compared to open lobectomy.
In the CIS countries these methods remain expensive due to the high cost of equipment and consumables.
Автор(ы): S. N. Pivovarchik, P. E. Korotkevich