You will need to think about whether you want to use Emacs only as your editor, but continue to support project settings, source files and the build / debugging environment in Visual Studio, or completely switch to Emacs as an editor and use some other tools (e.g. make) to completely create a project using VS compilers or other compilers.
The first case is relatively simple - you can open your file in Emacs, and the project is open in Visual Studio, and just Alt-tab for VS for assembly and debugging. There are a couple of good Emacs graphics ports for Windows, or you can just use Cygwin in conjunction with the terminal version of the application.
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