By Richard Beliveau
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Extra info for Cuisiner avec les aliments contre le cancer
Ann Thorac Surg. 2000;70(1):243–7. 22. Whitson BA, D’Cunha J, Andrade RS, Kelly RF, Groth SS, Wu B, et al. Thoracoscopic versus thoracotomy approaches to lobectomy: differential impairment of cellular immunity. Ann Thorac Surg. 2008;86(6):1735–44. 23. Jang H-J, Lee H-S, Park SY, Zo JI. Comparison of the early robot-assisted lobectomy experience to video-assisted thoracic surgery lobectomy for lung cancer. Innovations (Phila). 2011;6(5):305–10. 24. Wilson JL, Louie BE, Cerfolio RJ, Park BJ, Vallieres E, Aye RW, et al.
Of all patients with stage I disease, >80 % are treated with surgical resection , but resection rates drop in the elderly Western population due to comorbidities and the associated risk of increased operative mortality and morbidity . 3 % between 1998 and 2007  and this proportion drops to <40 % in patients older than 75 years based on data from the Netherlands . These numbers illustrate the need for non-surgical options offering safe and effective treatment for elderly comorbid patients with stage I NSCLC.
The majority of these data relate to the surgical treatment of clinical stage I cancers and there is less comparative data with clinical cancers of higher clinical stages. A recent meta-analysis of 21 studies including 2,641 patients demonstrated reduced systemic recurrences and 5-year mortality rates that favored VATS for early stage lung cancer . In comparison, a propensity matched multi-institutional study of 4,312 patients showed 5-year survival was 62 % regardless of approach . These findings continue to be seen in two small and more recent comparisons with actuarial 5-year survivals of 77 %  and 60 % .
Cuisiner avec les aliments contre le cancer by Richard Beliveau