Abstract

Minimal access surgery—primarily in the field of laparoscopic cholecystectomy—has rapidly become spread worldwide and is already one of the fundamental components of the surgical arsenal. Its dissemination in surgical oncology has been much slower, which especially refers to thoracic oncology. Based on his own experience and literature data the author outlines the indications of the so-called video-assisted thoracic surgery (VATS), the advantages, disadvantages and results of the method in the field of intrathoracal tumours. Although the development of this method is hard to predict as yet, in the author's opinion in-depth and careful investigations are needed for the precise assessment of its value. The author suggests that VATS will probably not occupy such a role in thoracic surgical oncology as it already fulfils in general surgery.

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