A major advance in lung cancer surgery is a minimally invasive approach
  called video-assisted thoracoscopic surgery (VATS), which is quickly becoming
  the standard of lung cancer care.
While conventional thoracotomy (lung surgery) requires a six to eight inch
  incision, spreading of the ribs, and possibly severing muscles, VATS is
  a minimally invasive procedure that requires only four small incisions
  without rib spreading or muscle damage.
Through these small openings, surgical instruments and a thoracoscope with
  a small camera lens are inserted, producing high-resolution images on
  a video monitor that provides the VATS surgeon with a detailed, magnified
  view of the surgical site. A segment, lobe or entire lung can be removed
  through a VATS procedure, depending on the patient’s condition and
  extent of cancer.
About 75 percent of lung cancer patients are candidates for this minimally
  invasive procedure. This procedure is especially beneficial for patients
  who may otherwise have been considered inoperable due to their age, or
  other complicating medical conditions.
Benefits of VATS
The minimally invasive VATS technique offers clear advantages over the
  open-chest traditional thoracotomy procedure, including:
- Small, keyhole incisions
 - Shorter hospital stay
 - Less post-operative pain
 - Less risk of post-operative complications
 - Faster recovery time
 
Video-assisted thoracic surgery (VATS) provides a safe, minimally invasive
  approach to lung cancer care. Additionally, VATS has been shown to result
  in cancer survival rates that are equal to, or better than, traditional
  open procedures, which is why it’s the preferred surgical treatment
  option at Hoag Family Cancer Institute.
Candidates for VATS
Individuals with localized, early stages of lung cancer are optimal candidates
  for surgery, and specifically the VATS procedure. Additionally, older
  patients (particularly those with complex medical conditions) tend to
  tolerate the VATS procedure much better than the open, traditional procedure.
  However, candidates still must be physically strong enough to tolerate surgery.
Individuals with regionally advanced stages of lung disease can often be
  treated aggressively with chemotherapy and/or radiation therapy in an
  effort to shrink the cancer enough to make it surgically resectable.
Experience You Can Trust!
Hoag Lung Cancer Program’s commitment to accurate diagnosis, combined
  with progressive therapeutic options enables Hoag patients to achieve
  some of the highest clinical outcomes in the nation.
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