Abstract
Surgery still offers the best option for patients with early stage non-small cell lung cancer that can tolerate surgery. With the increase in screening programs, more patients are diagnosed at early stages of cancer. Sadly, not all of them are fit for surgery, but with minimally invasive approaches, large number of those patients can be offered surgery and get a better overall survival. Awake non-intubated video assisted thoracic surgery resection is one of the most recent technique that we believe to be a game changer in this spectrum of patients who were previously classified as medically inoperable.
Highlights
With an increase in the number of patients diagnosed with early stage lung cancer, options for cure include surgery and stereotactic body radiotherapy (SBRT)
Recent guidelines published from ASTRO recommend the use of SBRT in cases that medically inoperable[1]
These results were augmented by the most recent publication that found that median survival was significantly greater after surgery compared to SBRT in a risk-adjusted matched cohort of patients judged to be surgical candidates
Summary
With an increase in the number of patients diagnosed with early stage lung cancer, options for cure include surgery and stereotactic body radiotherapy (SBRT). These results were augmented by the most recent publication that found that median survival was significantly greater after surgery compared to SBRT in a risk-adjusted matched cohort of patients judged to be surgical candidates.
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