Troubleshooting video-assisted thoracic surgery lobectomy.
Troubleshooting video-assisted thoracic surgery lobectomy.
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电视辅助胸外科肺叶切除术故障排除。
DOI：
10.1016/j.athoracsur.2004.05.015
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发表时间：
2005
期刊：
影响因子：
--
通讯作者：
T. D’amico
中科院分区：
文献类型：
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作者：
T. Demmy;T. James;S. Swanson;R. Mckenna;T. D’amico
将开放式肺叶切除术技能转换为视频辅助胸外科（VATS）技术的外科医生寻求传统的技术课程、出版物和医生指导。虽然这些在教授基本原理方面是有用的，但要传播处理肺组织中的解剖变异或病理变化的许多先进技术或技术“技巧”就比较困难了。描述：工程师通过使用故障排除指南简化了推出复杂技术的过程。因此，有帮助的视频辅助肺叶切除术演习已被归类为根据在不同点偶尔遇到的具体问题，在operation.ExclusionThese演习编制和审查的一个小组的胸外科医生经验丰富的视频辅助肺叶切除术，并一直积极教学和指导胸外科医生，居民和研究员。作者已成功使用所描述的技术来克服暴露和仪器限制，实现其系列中报告的结果，并指导学员。结论故障拍摄指南为外科医生提供了一种有组织的方法，可以改进视频辅助肺叶切除术中他们认为乏味或具有挑战性的部分。
PURPOSESurgeons converting their open lobectomy skills to video-assisted thoracic surgery (VATS) techniques have sought traditional technical courses, publications, and physician mentoring. While these are useful in teaching basic principles, it is more difficult to promulgate the numerous advanced techniques or technical “tricks” that deal with anatomical variations or pathologic changes in the lung tissue. DESCRIPTION: Engineers have simplified the process of rolling out complex technology by using troubleshooting guides. Accordingly, helpful video-assisted lobectomy maneuvers have been categorized according to the specific problems occasionally encountered at different points in the operation.EVALUATIONThese maneuvers were compiled and reviewed by a panel of thoracic surgeons experienced in video-assisted lobectomies and have been active in teaching and mentoring of thoracic surgeons, residents and fellows. The techniques described have been used successfully by the authors to overcome exposure and instrumentation limitations, to achieve the outcomes reported in their series, and to guide trainees.CONCLUSIONSTroubleshooting guides offer an organized means for surgeons to improve the parts of the video-assisted lobectomy procedure that they find tedious or challenging.