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Alexandre et al. Mini-invasive Surg 2020;4:35 I http://dx.doi.org/10.20517/2574-1225.2020.07 Page 7 of 8

[10]
The mid-term impact has been studied using FEV1 and 6MWT at six months of VATS and open
procedures, being thoracotomy or sternotomy. No significant difference has been demonstrated.

These data show advantages in the postoperative pulmonary function recovery for MIS compared to open
procedures, although sparing and anterior incisions can show equivalence. That benefit does not seem to
persist in the mid and long term. Nevertheless, the posterolateral thoracotomy appears to have the worse
effect on the loss of pulmonary function.

CONCLUSION
We are now evolving to the era of minimal invasive surgery, not only for esthetic reasons but mainly to
reduce the surgical stress of the procedures on our patients. There is scientific evidence for equivalent
[26]
oncological control by minimal invasive as by open surgery .
Through this review of the literature, we can assume that such equivalence seems evident concerning
postoperative pain, quality of life, and respiratory function recovery, and the superiority of minimal
invasive surgery may be assumed for the early postoperative period. These parameters are indeed quite
subjective and interact with each other. Their evaluation needs compliance from the patients in the long
run. Nowadays, smartphone applications may be a solution to improve follow-up.

DECLARATIONS
Authors’ contributions
Wrote and reviewed: Goussens A, Lacroix V

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
All authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2020.

REFERENCES
1. Lewis RJ, Sisler GE, Caccavale RJ. Imaged thoracic lobectomy: should it be done? Ann Thorac Surg 1992;54:80-3.
2. Moorthy K, Munz Y, Dosis A, Hernandez J, Martin S, et al. Dexterity enhancement with robotic surgery. Surg Endosc 2004;18:790-5.
3. Morgan JA, Ginsburg ME, Sonett JR, Morales DL, Kohmoto T, et al. Advanced thoracoscopic procedures are facilitated by computer-
aided robotic technology. Eur J Cardiothorac Surg 2003;23:883-7.
4. Cykert S, Kisling G, Hansen CJ. Patient preferences regarding possible outcomes of lung resection: what outcomes should preoperative
evaluations target? Chest 2000;117:1551-9.
5. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs 2005;14:798-804.
6. Nagahiro I, Andou A, Aoe M, Sano Y, Date H, et al. Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: