The lobar vs. sublobar “limited” resection respiratory function preservation debate: learning to speak the same language
It is in the nature of surgeons to evolve towards performing smaller incisions and less invasive techniques for the benefit of their patients. From an open pneumonectomy we have moved on to lobectomies and then sublobar resections; from an open thoracotomy we have evolved to a smaller “mini” thoracotomy, multiport and uniportal video assistant thoracic surgery (VATS) incisions and now robotic surgery (1-5). The quest to support the implementation of the limited resection into the cancer surgery armamentarium started many years ago. However, the concern with lung-sparing and minimal access techniques is that the oncological outcome may be compromised (6,7).