Kaseda Shizuka, Aoki Teruhiro
Department of Thoracic Surgery, Saiseikai Kanagawa-ken Hospital, Yokohama, Japan.
Nihon Geka Gakkai Zasshi. 2002 Oct;103(10):717-21.
Video-assisted thoracic surgery (VATS) has been in widespread use since the beginning of the 1990s. The initial indications for VATS were benign lesions of the lung, pneumothorax, benign tumors, etc. However, its application was extended to resection of lung cancer. We first gained experience with VATS lobectomy in September 1992, and also started performing lymphadenectomy using VATS in November 1993 after developing instruments for this meticulous operation. The 8-year survival rate of final stage IA lung cancers following VATS is 97.2%; this survival rate is significantly better than that with open thoracotomy. Here we report on our 10-year experience with VATS lobectomy, focusing on stage I lung cancer.
自20世纪90年代初以来，电视辅助胸腔镜手术（VATS）已得到广泛应用。VATS最初的适应证为肺部良性病变、气胸、良性肿瘤等。然而，其应用范围已扩展至肺癌切除术。我们于1992年9月首次获得VATS肺叶切除术的经验，并在1993年11月开发出用于这种精细手术的器械后，开始使用VATS进行淋巴结清扫术。VATS术后ⅠA期终末期肺癌的8年生存率为97.2%；该生存率明显优于开胸手术。在此，我们报告我们10年来VATS肺叶切除术的经验，重点是Ⅰ期肺癌。
