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The first thoracoscopic lobectomies were reported more than 25 years ago. At that time, only a few pioneers were convinced that the benefits of endoscopic surgery deserved consideration, and the technique remained confidential for years. After the publication of a large series in 2006–2008, the closed chest approach was in some way rediscovered by thoracic surgeons and was brought to light. The number of publications suddenly increased, and, in 2013, the American College of Chest Physicians finally recommended the thoracoscopic approach for resection of early-stage lung carcinomas. At the time of writing this atlas, the use of the thoracoscopic approach for major pulmonary resections ranges from 0% to 80%, depending on countries and institutions. Multiple technical descriptions are now available, and each technique comprises variations.
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