Tsuchiya R
Division of Thoracic Surgery, National Cancer Center Hospital, Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 2000 Jul;101(7):490-3.
Lobectomy with systemic nodal dissection is recognized as a standard operation for lung cancer. Partial resection and segmental resection are classified as limited resections for lung cancer to preserve pulmonary function. Minor complications occur more frequently with limited resection than with lobectomy. Partial resection of the lung and simple lobectomy can be performed as video-assisted thoracic surgery (VATS). Systemic hilar and mediastinal lymph node dissection is not yet standardized using VATS. On the other hand, VATS preserves chest wall muscles. The difference between standard thoracotomy and VATS is a difference of approach to the thoracic cavity. It is most important for lung cancer surgery to be performed in the thoracic cavity with the minimum burden on patients.
肺叶切除加系统性淋巴结清扫被认为是肺癌的标准手术。肺部分切除和肺段切除被归类为肺癌的有限切除，以保留肺功能。有限切除比肺叶切除更常发生轻微并发症。肺部分切除和单纯肺叶切除可通过电视辅助胸腔镜手术（VATS）进行。使用VATS进行系统性肺门和纵隔淋巴结清扫尚未标准化。另一方面，VATS可保留胸壁肌肉。标准开胸手术和VATS的区别在于进入胸腔的途径不同。对肺癌手术来说，在胸腔内以对患者最小的负担进行手术是最重要的。
