摘要: Primary lung cancer remains the most lethal of all malignancies. The cornerstone therapy for early-stage non-small cell (NSCLC) is surgical resection by lobectomy with complete systematically lymphadenectomy (Hartwig & D’Amico, 2010). One initial reports on video-assisted thoracoscopic was published 1994 Robert McKenna (McKenna, 1994). Since then techniques to perform major anatomic resections evolved dramatically and have gained widespread adoption. But in fact, worldwide only 20% lobectomies are done using a approach (Buffa et al., 2008). Germany Advantages compared open thoracotomy include lower incidence complications (Paul 2010), shorter hospitalization (Scott better pulmonary function (Kaseda 2000), less postoperative pain (McKenna al. 2006), decreased overall costs (Burfeind 2010; Casali Walker, 2009) improved delivery adjuvant chemotherapy selected patients (Lee at 2011; Petersen 2007). These outcomes suggest that should be considered gold standard NSCLC D’Amico