Uniportal video-assisted thoracoscopic lobectomy
Uniportal video-assisted thoracoscopic lobectomy
复制标题
DOI：
10.3978/j.issn.2072-1439.2013.07.30
复制
发表时间：
2013-08-01
影响因子：
2.5
通讯作者：
de la Torre, Mercedes
中科院分区：
文献类型：
--
作者：
Gonzalez-Rivas, Diego;Fieira, Eva;de la Torre, Mercedes
在过去的二十年里，电视胸腔镜手术（VATS）彻底改变了胸外科医生诊断和治疗肺部疾病的方式。电视胸腔镜手术的主要进展与肺叶切除术有关，但目前对肺叶切除术的最佳方法还没有很好的定义。大多数作者描述了通过3至4个切口进行肺叶切除术的VATS入路，但手术可以仅通过一个切口进行，结局相似。这种单一切口与我们通常使用的双孔或三孔技术进行的电视胸腔镜肺叶切除术相同，没有肋骨扩张。随着我们在电视胸腔镜肺叶切除术方面经验的增加，我们逐渐改进了该技术，以实现微创入路。因此，我们获得的经验越多，我们所做的病例就越复杂，从而扩大了单切口胸腔镜肺叶切除术的适应证。
Over the past two decades, video-assisted thoracic surgery (VATS) has revolutionized the way thoracic surgeons diagnose and treat lung diseases. The major advance in VATS procedures is related to the major pulmonary resections.The best VATS technique for lobectomy has not been well defined yet. Most of the authors describe the VATS approach to lobectomy via 3 to 4 incisions but the surgery can be performed by only one incision with similar outcomes. This single incision is the same as we normally use for VATS lobectomies performed by double or triple port technique with no rib spreading.As our experience with VATS lobectomy has grown, we have gradually improved the technique for a less invasive approach. Consequently the greater the experience we gained, the more complex the cases we performed were, hence expanding the indications for single-incision thoracoscopic lobectomy.