Technique for Complete Video-Assisted Thoracic Lobectomy (c-VATS Lobectomy)

  • Jan SiebengaEmail author


c-VATS lobectomy (complete video-assisted thoracic surgery) was introduced in the early 1990s. While in the late 1990s and early 2000s, the question was if c-VATS lobectomy is comparable to open lobectomy, the accent has moved to studies which proof that c-VATS lobectomy is better than open lobectomy. Different techniques for performing a c-VATS procedure are described in literature, starting with the technique of simultaneously stapled lobectomy and resulting in complete anatomical resections with lymph node dissection. In this chapter, a straightforward technique is described which dissects from anterior to posterior. The technique is structured and consists of clearly identifiable steps, so it can be used in a training situation for fellows. Lobe-specific pitfalls are discussed.


Pulmonary Vein Azygos Vein Left Lower Lobe Inferior Pulmonary Vein Superior Pulmonary Vein 
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I would like to thank R. McKenna Jr, M.D., for opening my eyes for the c-VATS lobectomy.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Division of Thoracic Surgery, Department of General SurgeryAtrium Medical CentreHeerlenThe Netherlands

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