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Lobectomy by VATSSurvey on Lobectomy Approach: Taking the Plunge

Melanie A. Edwards, MD; Keith S. Naunheim, MD, FCCP
Author and Funding Information

From the Division of Cardiothoracic Surgery, School of Medicine, Saint Louis University.

CORRESPONDENCE TO: Melanie A. Edwards, MD, Division of Cardiothoracic Surgery, School of Medicine, Saint Louis University, 3635 Vista Ave at Grand Boulevard, Box 15250, St. Louis, MO 63110-0250; e-mail: medwar13@slu.edu


FINANCIAL/NONFINANCIAL DISCLOSURES: The authors have reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(2):246-248. doi:10.1378/chest.14-0349
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Extract

Surgeons, being human, have widely varying thresholds for the adoption of new technology and techniques. Although we all would like to be working “at the cutting edge,” it can be somewhat difficult to “take the plunge” when new procedures appear. What one surgeon considers an exciting new technique might be considered challenging or even daunting by another.

In this issue of CHEST (see page 292), Cao and colleagues1 report on an international survey of thoracic surgeons that provides a snapshot of the current status of video-assisted thoracoscopic surgery (VATS) lobectomy worldwide nearly two decades after its introduction. Previous surveys have been more limited in scope and size,2,3 making this an important contribution to our understanding of current attitudes toward how VATS lobectomy is being incorporated into practice. Because of its international reach, this report also raises several issues regarding the real differences in the adoption of new technology between developed and developing nations.

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