Current perspective on resectability in stage III locally advanced NSCLC – the thoracic surgeons’ view

Surgical expertise is crucial in determining resectability. Due to differences in surgical expertise, cooperation with other surgical departments, and technical equipment available, a differentiation between "standard resectability" and "resectability with advanced technical requirements" can introduce a clear decision algorithm for interdisciplinary tumorboards. The current 2024 EORTC survey highlights areas with a lack of consensus on surgical indications in stage III NSCLC. T4 NSCLC with involvement of adjacent structures should be managed in high-volume, experienced centers following MDT discussion. Future research should focus on refining selection criteria for surgery and optimize treatment strategies in patients with locally advanced NSCLC.