With this approach, a surgeon removes all or part of a lung through a large incision on one side of the chest.
Thoracotomy is a more traditional open surgery approach and was the only surgical option to treat lung cancer — until more advanced medical techniques and equipment were popularized in the 1990s.2
VATS allows your surgeon to access and remove your cancer in a minimally invasive manner. Your surgeon will utilize 1-4 small incisions (2-6 cm) between the ribs to insert a camera and advanced instruments. The scope provides a magnified view, which allows the surgeon to identify the cancerous lung tissue and remove it from the body.
* VATS is associated with reduced cytokine production. Cytokines regulate the immune system. And certain cytokines associated with the body’s inflammatory response have been linked to a better lung cancer prognosis when they are at lower levels.3
Unlike open surgery, VATS doesn’t require rib spreading, so it’s a less invasive procedure. Long-term survival rates with VATS are equal to open thoracotomy for early stage NSCLC and some recent data suggest that the survival may be better. 3,5
Compare Open Surgery vs Minimally Invasive6 | Thoracotomy (traditional open) | VATS (minimally invasive) |
---|---|---|
Pain | Incisions and your chest area may be painful for several weeks to months after surgery | While pain in the hospital will still occur, it is usually less than that experienced with a thoracotomy |
Incision size | One large incision 10-15 cm | One main incision 4-6 cm (usually 4.5 cm); multiple additional incisions, typically 2-4 cm |
Anesthesia | General | General |
Length of hospital stay | 6-7 days | 3-4 days |
Incision placement |