Minimally Invasive Thoracic Surgery: Risk Assessment and Personalized Perioperative Management

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 103

Special Issue Editors


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Guest Editor
Department of Thoracic Surgery, AOU delle Marche, 60126 Ancona, Italy
Interests: minimally invasive thoracic surgery; ERAS; uniportal VATS; sublobar resections; postoperative risk assessment

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Guest Editor
Thoracic Surgery Department, University of Perugia Medical School, 06129 Perugia, Italy
Interests: minimally invasive thoracic surgery; chest wall surgery; tracheal surgery; surgical treatment of pleural diseases; surgical treatment of locally advanced stages of lung cancer; surgery after induction treatment; STAS; lung regeneration
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Special Issue Information

Dear Colleagues,

As already widely reported, the role of video-assisted thoracic surgery (VATS) has emerged and made a great contribution to the early postoperative period after pulmonary resection for cancer. As more patients are at high risk of developing cardiopulmonary complications, the outcome of performing VATS is improving.

Preoperative cardiopulmonary function tests were traditionally performed for open surgery to assess resection feasibility, but now these tests may no longer be predictors of postoperative complications. A personalized perioperative management based on tailored surgical procedures and more patient-centered standardized pathways of care (e.g., ERAS) are of primary importance to enhance the perioperative course, disputing the traditional standards of care.

Regarding surgical resection, VATS sublobar resection represents a useful alternative treatment, especially in the elderly population with severe comorbidities or in patients considered to be at high risk for postoperative complications.

Additionally, VATS is a key element of ERAS. This new paradigm of care after surgery is able to reduce the stress response to surgery, providing the patient with an active role in their “patient-centered strategy” for a prompt recovery.

This Special Issue aims to highlight new perspectives on the personalized perioperative management of patients with lung cancer, analyzing surgical risk stratification, possible new predictors of complications, tailored surgical approaches, and evolutions of perioperative pathways of care.

In this Special Issue, we aim to set a clear focus on how these strategies of care are substantially revolutionizing patient management and whether the direction of future anticipated outcomes is confirmed or not. New advances in each aspect and the value of recent scientific achievements to assess the current therapeutic horizon of lung cancer patients are welcomed to be submitted to this Special Issue.

Dr. Marco Andolfi
Dr. Vannucci Jacopo
Guest Editors

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Keywords

  • VATS
  • ERAS
  • sublobar resection
  • risk assessment
  • minimally invasive thoracic surgery

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