单孔胸腔镜：微创肺癌切除的再次升华

以电视胸腔镜手术（video-assisted thoracic surgery, VATS）为代表的微创手术已成为肺癌切除的主流。传统多孔VATS（包括四孔、三孔及两孔）已覆盖了几乎所有肺癌切除方式。然而，如何使肺癌的切除更加微创始终是胸外科医师的不懈追求。单孔VATS只需一个切口完成手术，与传统多孔VATS相比，能最大程度地减轻胸壁损伤，在减轻术后切口疼痛和胸壁感觉异常方面有明显的优势。近年来，单孔VATS已开始应用于肺癌的切除，并取得不错的临床效果。本文就单孔VATS肺癌切除的进展进行简要小结，单孔VATS是微创肺癌切除的再次升华。...

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Bibliographic Details
Published inZhongguo fei ai za zhi Vol. 17; no. 7; pp. 527 - 530
Main Author 刘成武 刘伦旭
Format Journal Article
LanguageChinese
English
Published 天津市和平区南京路228号300020 四川大学华西医院胸外科,成都,610041 20.07.2014
中国肺癌杂志编辑部
Subjects
Cmdats Annual Topic
Cmdats年会专题
手术
电视胸腔镜手术
肺肿瘤
手术
电视胸腔镜手术
肺肿瘤
Surgery
Video-assisted thoracic surgery
Lung neoplasms
Online AccessGet full text
ISSN1009-3419
1999-6187
DOI10.3779/j.issn.1009-3419.2014.07.04

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Summary:以电视胸腔镜手术（video-assisted thoracic surgery, VATS）为代表的微创手术已成为肺癌切除的主流。传统多孔VATS（包括四孔、三孔及两孔）已覆盖了几乎所有肺癌切除方式。然而，如何使肺癌的切除更加微创始终是胸外科医师的不懈追求。单孔VATS只需一个切口完成手术，与传统多孔VATS相比，能最大程度地减轻胸壁损伤，在减轻术后切口疼痛和胸壁感觉异常方面有明显的优势。近年来，单孔VATS已开始应用于肺癌的切除，并取得不错的临床效果。本文就单孔VATS肺癌切除的进展进行简要小结，单孔VATS是微创肺癌切除的再次升华。
Bibliography:Micro-invasive thoracic surgery, especially represented by video-assisted thoracic surgery （VATS）, has be-come the mainstream of lung cancer resection. Traditional multi-portal VATS techniques, including four-port, three-port, and two-port VATS, have been widely used to perform nearly all kinds of lung cancer resections. However, how to make lung cancer resection less invasive is always the subject that all thoracic surgeons never stop pursuing. Compared with multi-portal VATS, uniportal VATS causes less postoperative pain and paresthesia because only one small incision is made and one intercoastal space is involved. In recent years, good clinical results have been obtained from uniportal VATS in lung cancer resections. In this paper, we’d like to present a brief summary about the progresses made in the application of uniportal VATS in lung cancer resection. Uniportal VATS is a sublimation of micro-invasive lung cancer resection.
Lung neoplasms;Video-assisted thoracic surgery;Surgery
12-1395/R
Chengwu LIU, Lunxu
文章已在中国医师协会胸外科医师分会2014年年会/第五届全国普胸外科大会报告
ISSN:1009-3419
1999-6187
DOI:10.3779/j.issn.1009-3419.2014.07.04