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In the last ten years, thoracic surgery has evolved into a less invasive approach ito perform safe and effective procedures with minimal trauma to the patient. Minimally invasive thoracic surgery has become the treatment of choice for thoracic tumors. 90% of resections in thoracic surgery are performed to remove a lung, mediastinal or pleural malignant tumor, so a minimally invasive approach must meet three conditions: being safe, being feasible, and making complete resection of the tumor possible. The development of specific minimally invasive thoracic surgery instruments and a higher experience of surgical teams in minimally invasive approaches has made it possible to perform tumor resection through a transcervical, transthoracic or subxiphoid approach. This makes it possible to perform the same resection than open surgery with less trauma to the patient.

In this presentation we describe different thoracic approaches depending on the location and number of the incisions and the instruments used.

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Dr. Aitana Belda Camós Management/Team Work
Dr. Josep Belda Professor of Surgery, Autonomous University of Barcelona; Thoracic Surgeon and Scientific Coordinator of the Thoracic Surgery Department, Hospital de la Santa Creu i Sant Pau, Spain Thoracic Surgery
Dr. Esther Cladellas MD, Thoracic Surgeon, Hospital Santa Creu i Sant Pau, Barcelona, Spain Cardiothoracic Surgery
Dr. Fernando Ascanio Gossling Assistant specialist in Thoracic Surgery and Lung Transplantation, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain Thoracic Surgery
Dr. M. Guarino Cardiothoracic Surgery
Dr. Elisabeth Martinez-Tellez Department of Thoracic Surgery Hospital Universitari de la Santa Creu i Sant Pau Universitat Autònoma de Barcelona, Barcelona, Spain Cardiothoracic Surgery
Dr. G. Planas Cardiothoracic Surgery
Dr. Laura Romero Vielva MD, PhD, Thoracic surgery, Lung transplant, Robotic Thoracic Surgery, Vall d'Hebron Hospital, Barcelona, Spain. Cardiothoracic Surgery
Dr. JC. Trujillo-Reyes Consultant of Thoracic Surgery, Hospital de la Santa Creu I Sant Pau, Barcelona, Spain Cardiothoracic Surgery
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