Minimizing Surgical Trauma in Thoracic Surgery: Innovations and Techniques

Thoracic surgery has advanced significantly in recent years, placing a strong emphasis on less invasive procedures. In this discussion, we will explore the evolution of techniques and technologies aimed at minimizing the impact of traditional surgical and radiological procedures in thoracic surgery.

The journey towards less surgical trauma begins with the shift from open surgery to the introduction of video-assisted thoracic surgery (VATS). We will examine the transition from multi-port VATS to uni-port VATS, and the development of robotic-assisted thoracic surgery (RATS), including multi-port, single-site, and single-port RATS techniques. These innovations have not only reduced surgical trauma but also improved patient recovery.

In the treatment of early lung cancer, precise localization of lung nodules during surgery is crucial. Traditional pre-operative localization methods have been replaced with the introduction of intraoperative techniques such as cone-beam computed tomography (CBCT) and navigation bronchoscopy. We will discuss how these technologies enable accurate nodule localization as well as improving patient comfort. 
Additionally, we will touch upon image-guided ablation therapies, such as cryotherapy, in the treating patients with advanced stage lung cancer or limited pulmonary function. These therapies offer less invasive alternatives to traditional resection methods.

This talk aims to provide insights into the comprehensive spectrum of techniques and technologies available for minimizing trauma in thoracic surgery, highlighting their role in improving patient care and outcomes. As thoracic surgeons, our commitment to reducing trauma and advancing patient-centric care remains unwavering.