Video-assisted and minimally-invasive wall chest surgery—finding the balance
Video-assisted thoracic surgery (VATS) lobectomy has been used in the treatment of lung cancer since the early 1990s. This approach was both popularized and perfected by Robert McKenna and has revolutionized the field of thoracic surgery. With the evolution of thoracoscopic surgery for lung cancer and its use for increasingly complex problems and difficult situations, the indications to convert to an open operation are continually decreasing. Moreover, thoracoscopic approaches can enhance your ability to perform an operation. In this article we will discuss the role of VATS in lobectomy with en bloc chest wall resection, in first rib resection for thoracic outlet syndrome, and rib resection for bone metastasis.