Video-assisted thoracoscopic surgery lobectomy at 20 years: A consensus statement

Tristan D. Yan; Christopher Cao; Thomas A. D'amico; Todd L. Demmy; Jianxing He; Henrik Hansen; Scott J. Swanson; William S. Walker; Gianluca Casali; Joel Dunning; Michael Shackcloth; Rajesh Shah; Sasha Stamenkovic; Tom Routledge; William Walker; Edwin Woo; Steve Woolley; Jean Marc Baste; Dominique Gossot; Giancarlo Roviaro; Luciano Solaini; Jesus Loscertales; Diego Gonzalez-rivas; Herbert Decaluwe; Georges Decker; Frederic De Ryck; Youri Sokolow; Jan Wolter Oosterhuis; Jan Siebenga; Thomas Schmid; Johannes Bodner; Henrik Dienemann; Gunda Leschber; Didier Schneiter; Henrik Hansen; Peter Licht; René Horsleben Petersen; Cezary Piwkowski; Tommy D'amico; Todd Demmy; Claude Deschamps; John Howington; Mike Liptay; Robert Mckenna; John Mitchell; Bryan Meyers; Bernard Park; Scott Swanson; Hyun Sung Lee; Jian Xing He; Yun Li; Zhidong Liu; Nan Wu; Anthony Yim; Weicheng Yu; Tadasu Kohno; Gavin Wright

doi:10.1093/ejcts/ezt463

Video-assisted thoracoscopic surgery lobectomy at 20 years: A consensus statement

Tristan D. Yan, Christopher Cao, Thomas A. D'amico, Todd L. Demmy, Jianxing He, Henrik Hansen, Scott J. Swanson, William S. Walker, Gianluca Casali, Joel Dunning, Michael Shackcloth, Rajesh Shah, Sasha Stamenkovic, Tom Routledge, William Walker, Edwin Woo, Steve Woolley, Jean Marc Baste, Dominique Gossot, Giancarlo RoviaroLuciano Solaini, Jesus Loscertales, Diego Gonzalez-rivas, Herbert Decaluwe, Georges Decker, Frederic De Ryck, Youri Sokolow, Jan Wolter Oosterhuis, Jan Siebenga, Thomas Schmid, Johannes Bodner, Henrik Dienemann, Gunda Leschber, Didier Schneiter, Henrik Hansen, Peter Licht, René Horsleben Petersen, Cezary Piwkowski, Tommy D'amico, Todd Demmy, Claude Deschamps, John Howington, Mike Liptay, Robert Mckenna, John Mitchell, Bryan Meyers, Bernard Park, Scott Swanson, Hyun Sung Lee, Jian Xing He, Yun Li, Zhidong Liu, Nan Wu, Anthony Yim, Weicheng Yu, Tadasu Kohno, Gavin Wright

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170 Scopus citations

Abstract

OBJECTIVE: Video-assisted thoracoscopic surgery (VATS) lobectomy has been gradually accepted as an alternative surgical approach to open thoracotomy for selected patients with non-small-cell lung cancer (NSCLC) over the past 20 years. The aim of this project was to standardize the perioperative management of VATS lobectomy patients through expert consensus and to provide insightful guidance to clinical practice. METHODS: A panel of 55 experts on VATS lobectomy was identified by the Scientific Secretariat and the International Scientific Committee of the '20th Anniversary of VATS Lobectomy Conference-The Consensus Meeting'. The Delphi methodology consisting of two rounds of voting was implemented to facilitate the development of consensus. Results from the second-round voting formed the basis of the current Consensus Statement. Consensus was defined a priori as more than 50% agreement among the panel of experts. Clinical practice was deemed 'recommended' if 50-74% of the experts reached agreement and 'highly recommended' if 75% or more of the experts reached agreement. RESULTS: Fifty VATS lobectomy experts (91%) from 16 countries completed both rounds of standardized questionnaires. No statistically significant differences in the responses between the two rounds of questioning were identified. Consensus was reached on 21 controversial points, outlining the current accepted definition of VATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSION: The present Consensus Statement represents a collective agreement among 50 international experts to establish a standardized practice of VATS lobectomy for the thoracic surgical community after 20 years of clinical experience.

Original language	English
Pages (from-to)	633-639
Number of pages	7
Journal	European Journal of Cardio-thoracic Surgery
Volume	45
Issue number	4
DOIs	https://doi.org/10.1093/ejcts/ezt463
State	Published - Apr 1 2014

Keywords

Consensus
Lung resection
Minimally invasive pulmonary resection
Non-small-cell lung cancer
Video-assisted thoracoscopic surgery

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10.1093/ejcts/ezt463

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Yan, T. D., Cao, C., D'amico, T. A., Demmy, T. L., He, J., Hansen, H., Swanson, S. J., Walker, W. S., Casali, G., Dunning, J., Shackcloth, M., Shah, R., Stamenkovic, S., Routledge, T., Walker, W., Woo, E., Woolley, S., Baste, J. M., Gossot, D., ... Wright, G. (2014). Video-assisted thoracoscopic surgery lobectomy at 20 years: A consensus statement. European Journal of Cardio-thoracic Surgery, 45(4), 633-639. https://doi.org/10.1093/ejcts/ezt463

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title = "Video-assisted thoracoscopic surgery lobectomy at 20 years: A consensus statement",

abstract = "OBJECTIVE: Video-assisted thoracoscopic surgery (VATS) lobectomy has been gradually accepted as an alternative surgical approach to open thoracotomy for selected patients with non-small-cell lung cancer (NSCLC) over the past 20 years. The aim of this project was to standardize the perioperative management of VATS lobectomy patients through expert consensus and to provide insightful guidance to clinical practice. METHODS: A panel of 55 experts on VATS lobectomy was identified by the Scientific Secretariat and the International Scientific Committee of the '20th Anniversary of VATS Lobectomy Conference-The Consensus Meeting'. The Delphi methodology consisting of two rounds of voting was implemented to facilitate the development of consensus. Results from the second-round voting formed the basis of the current Consensus Statement. Consensus was defined a priori as more than 50% agreement among the panel of experts. Clinical practice was deemed 'recommended' if 50-74% of the experts reached agreement and 'highly recommended' if 75% or more of the experts reached agreement. RESULTS: Fifty VATS lobectomy experts (91%) from 16 countries completed both rounds of standardized questionnaires. No statistically significant differences in the responses between the two rounds of questioning were identified. Consensus was reached on 21 controversial points, outlining the current accepted definition of VATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSION: The present Consensus Statement represents a collective agreement among 50 international experts to establish a standardized practice of VATS lobectomy for the thoracic surgical community after 20 years of clinical experience.",

keywords = "Consensus, Lung resection, Minimally invasive pulmonary resection, Non-small-cell lung cancer, Video-assisted thoracoscopic surgery",

author = "Yan, {Tristan D.} and Christopher Cao and D'amico, {Thomas A.} and Demmy, {Todd L.} and Jianxing He and Henrik Hansen and Swanson, {Scott J.} and Walker, {William S.} and Gianluca Casali and Joel Dunning and Michael Shackcloth and Rajesh Shah and Sasha Stamenkovic and Tom Routledge and William Walker and Edwin Woo and Steve Woolley and Baste, {Jean Marc} and Dominique Gossot and Giancarlo Roviaro and Luciano Solaini and Jesus Loscertales and Diego Gonzalez-rivas and Herbert Decaluwe and Georges Decker and Ryck, {Frederic De} and Youri Sokolow and Oosterhuis, {Jan Wolter} and Jan Siebenga and Thomas Schmid and Johannes Bodner and Henrik Dienemann and Gunda Leschber and Didier Schneiter and Henrik Hansen and Peter Licht and Petersen, {Ren{\'e} Horsleben} and Cezary Piwkowski and Tommy D'amico and Todd Demmy and Claude Deschamps and John Howington and Mike Liptay and Robert Mckenna and John Mitchell and Bryan Meyers and Bernard Park and Scott Swanson and Lee, {Hyun Sung} and He, {Jian Xing} and Yun Li and Zhidong Liu and Nan Wu and Anthony Yim and Weicheng Yu and Tadasu Kohno and Gavin Wright",

year = "2014",

month = apr,

day = "1",

doi = "10.1093/ejcts/ezt463",

language = "English",

volume = "45",

pages = "633--639",

journal = "European Journal of Cardio-thoracic Surgery",

issn = "1010-7940",

number = "4",

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Yan, TD, Cao, C, D'amico, TA, Demmy, TL, He, J, Hansen, H, Swanson, SJ, Walker, WS, Casali, G, Dunning, J, Shackcloth, M, Shah, R, Stamenkovic, S, Routledge, T, Walker, W, Woo, E, Woolley, S, Baste, JM, Gossot, D, Roviaro, G, Solaini, L, Loscertales, J, Gonzalez-rivas, D, Decaluwe, H, Decker, G, Ryck, FD, Sokolow, Y, Oosterhuis, JW, Siebenga, J, Schmid, T, Bodner, J, Dienemann, H, Leschber, G, Schneiter, D, Hansen, H, Licht, P, Petersen, RH, Piwkowski, C, D'amico, T, Demmy, T, Deschamps, C, Howington, J, Liptay, M, Mckenna, R, Mitchell, J, Meyers, B, Park, B, Swanson, S, Lee, HS, He, JX, Li, Y, Liu, Z, Wu, N, Yim, A, Yu, W, Kohno, T & Wright, G 2014, 'Video-assisted thoracoscopic surgery lobectomy at 20 years: A consensus statement', European Journal of Cardio-thoracic Surgery, vol. 45, no. 4, pp. 633-639. https://doi.org/10.1093/ejcts/ezt463

TY - JOUR

T1 - Video-assisted thoracoscopic surgery lobectomy at 20 years

T2 - A consensus statement

AU - Yan, Tristan D.

AU - Cao, Christopher

AU - D'amico, Thomas A.

AU - Demmy, Todd L.

AU - He, Jianxing

AU - Hansen, Henrik

AU - Swanson, Scott J.

AU - Walker, William S.

AU - Casali, Gianluca

AU - Dunning, Joel

AU - Shackcloth, Michael

AU - Shah, Rajesh

AU - Stamenkovic, Sasha

AU - Routledge, Tom

AU - Walker, William

AU - Woo, Edwin

AU - Woolley, Steve

AU - Baste, Jean Marc

AU - Gossot, Dominique

AU - Roviaro, Giancarlo

AU - Solaini, Luciano

AU - Loscertales, Jesus

AU - Gonzalez-rivas, Diego

AU - Decaluwe, Herbert

AU - Decker, Georges

AU - Ryck, Frederic De

AU - Sokolow, Youri

AU - Oosterhuis, Jan Wolter

AU - Siebenga, Jan

AU - Schmid, Thomas

AU - Bodner, Johannes

AU - Dienemann, Henrik

AU - Leschber, Gunda

AU - Schneiter, Didier

AU - Hansen, Henrik

AU - Licht, Peter

AU - Petersen, René Horsleben

AU - Piwkowski, Cezary

AU - D'amico, Tommy

AU - Demmy, Todd

AU - Deschamps, Claude

AU - Howington, John

AU - Liptay, Mike

AU - Mckenna, Robert

AU - Mitchell, John

AU - Meyers, Bryan

AU - Park, Bernard

AU - Swanson, Scott

AU - Lee, Hyun Sung

AU - He, Jian Xing

AU - Li, Yun

AU - Liu, Zhidong

AU - Wu, Nan

AU - Yim, Anthony

AU - Yu, Weicheng

AU - Kohno, Tadasu

AU - Wright, Gavin

PY - 2014/4/1

Y1 - 2014/4/1

N2 - OBJECTIVE: Video-assisted thoracoscopic surgery (VATS) lobectomy has been gradually accepted as an alternative surgical approach to open thoracotomy for selected patients with non-small-cell lung cancer (NSCLC) over the past 20 years. The aim of this project was to standardize the perioperative management of VATS lobectomy patients through expert consensus and to provide insightful guidance to clinical practice. METHODS: A panel of 55 experts on VATS lobectomy was identified by the Scientific Secretariat and the International Scientific Committee of the '20th Anniversary of VATS Lobectomy Conference-The Consensus Meeting'. The Delphi methodology consisting of two rounds of voting was implemented to facilitate the development of consensus. Results from the second-round voting formed the basis of the current Consensus Statement. Consensus was defined a priori as more than 50% agreement among the panel of experts. Clinical practice was deemed 'recommended' if 50-74% of the experts reached agreement and 'highly recommended' if 75% or more of the experts reached agreement. RESULTS: Fifty VATS lobectomy experts (91%) from 16 countries completed both rounds of standardized questionnaires. No statistically significant differences in the responses between the two rounds of questioning were identified. Consensus was reached on 21 controversial points, outlining the current accepted definition of VATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSION: The present Consensus Statement represents a collective agreement among 50 international experts to establish a standardized practice of VATS lobectomy for the thoracic surgical community after 20 years of clinical experience.

AB - OBJECTIVE: Video-assisted thoracoscopic surgery (VATS) lobectomy has been gradually accepted as an alternative surgical approach to open thoracotomy for selected patients with non-small-cell lung cancer (NSCLC) over the past 20 years. The aim of this project was to standardize the perioperative management of VATS lobectomy patients through expert consensus and to provide insightful guidance to clinical practice. METHODS: A panel of 55 experts on VATS lobectomy was identified by the Scientific Secretariat and the International Scientific Committee of the '20th Anniversary of VATS Lobectomy Conference-The Consensus Meeting'. The Delphi methodology consisting of two rounds of voting was implemented to facilitate the development of consensus. Results from the second-round voting formed the basis of the current Consensus Statement. Consensus was defined a priori as more than 50% agreement among the panel of experts. Clinical practice was deemed 'recommended' if 50-74% of the experts reached agreement and 'highly recommended' if 75% or more of the experts reached agreement. RESULTS: Fifty VATS lobectomy experts (91%) from 16 countries completed both rounds of standardized questionnaires. No statistically significant differences in the responses between the two rounds of questioning were identified. Consensus was reached on 21 controversial points, outlining the current accepted definition of VATS lobectomy, its indications and contraindications, perioperative clinical management and recommendations for training and future research directions. CONCLUSION: The present Consensus Statement represents a collective agreement among 50 international experts to establish a standardized practice of VATS lobectomy for the thoracic surgical community after 20 years of clinical experience.

KW - Consensus

KW - Lung resection

KW - Minimally invasive pulmonary resection

KW - Non-small-cell lung cancer

KW - Video-assisted thoracoscopic surgery

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U2 - 10.1093/ejcts/ezt463

DO - 10.1093/ejcts/ezt463

M3 - Article

C2 - 24130372

AN - SCOPUS:84896460733

SN - 1010-7940

VL - 45

SP - 633

EP - 639

JO - European Journal of Cardio-thoracic Surgery

JF - European Journal of Cardio-thoracic Surgery

IS - 4

ER -

Video-assisted thoracoscopic surgery lobectomy at 20 years: A consensus statement

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Keywords

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