National trends, safety, and effectiveness of minimally invasive concomitant chest wall resection for locally advanced lung cancer.

Discussion In this first and largest national observational study on the use of minimally invasive (VATS and robotic) approaches to lobectomy/bilobectomy with concomitant chest wall resection for NSCLC, we found that (1) there is an increasing trend toward starting and completing these resections in a minimally invasive fashion, particularly robotically; (2) the minimally invasive approach is associated with shorter hospital lengths of stay; (3) the minimally invasive approach is associated with similar risk-adjusted mortality and readmission rates without jeopardizing oncologic outcomes; and (4) as tumor size increases, the probability of conversion to open increases, although the robotic approach is associated with lower conversion rates at all tumor sizes.

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