Video-assisted thoracic surgery double sleeve resections: the next step

Therapy of non-small cell lung cancer (NSCLC) is undergoing a revolution: in early stage NSCLC surgical treatment possibilities have been enhanced by the introduction of video-assisted thoracic surgery (VATS) offering patients relevant benefits including less pain and a better quality of life (1). For advanced stages the implementation of targeted and immune-therapies have just begun to emerge and are about to replace classical chemotherapy as first line treatment option in selected cases (2,3). These developments will significantly change established treatment algorithms.