TY - JOUR AU - Jaus, Massimo Osvaldo AU - Forcione, Annarita AU - Gonfiotti, Alessandro AU - Carleo, Francesco AU - De Massimi, Alessia Raffaella AU - Carbone, Luigi AU - Martino, Marco Di AU - Cardillo, Giuseppe PY - 2018 TI - Hybrid treatment of T3 chest wall lung cancer lobectomy JF - Journal of Visualized Surgery; Vol 4 (February 2018): Journal of Visualized Surgery Y2 - 2018 KW - N2 - Nowadays the treatment of patients with non-small cell lung cancer (NSCLC) that invades the chest wall is still questioned. The classic approach is a lobectomy that requires chest wall resection through thoracotomy, but thanks to the progress in the field of thoracoscopic surgery, this procedure can be performed by video-assisted thoracoscopic surgery (VATS). Major advances have been made in recent years both in the surgical technique associated with thoracoscopy and in the instrumentation available today. This has allowed the use of thoracoscopic technique even in advanced disease. To choose to perform complex surgery in assisted video surgery, considerable experience is needed to avoid making mistakes and giving up a better approach for the patient only for any technical difficulties. Thoracoscopy is not currently the preferred intervention for patients with chest wall invasion because there are insufficient studies on the feasibility of lobectomy with thoracoscopic wall resection, although the thoracoscopic approach has reduced mortality and morbidity in lung cancer cases not in advanced stage. We discuss our experience in three patients using hybrid approach with assisted video thoracoscopic lobectomy and a chest wall en-block resection with an alternative method of estimating thoracic wall resection that uses assisted video surgery and hypodermic needles (minimally invasive posterior approach). UR - https://jovs.amegroups.org/article/view/18368