Surgical techniques involving the endoscopic evaluation and treatment of di
seases of the chest have progressed from their origins in the early 1900s t
o the modern era of video-assisted, minimally invasive thoracic surgery. As
the surgical techniques and instrumentation evolve, the role of video assi
sted surgery in a modern general thoracic surgical practice continues to be
debated and to change accordingly. This review describes the current role
of video-assisted thoracic surgery (VATS) in the management of diseases of
the lung (bronchogenic carcinoma, emphysema, and interstitial. disease), pl
eura (pleural effusions and empyema), and mediastinum (humors and cysts, au
tonomic dysfunction, and pericardial disease).