Inderbitzi R, Furrer M, Striffeler H
Universitätsklinik für Thorax-, Herz- und Gefässchirurgie, Inselspital Bern.
Chirurg. 1992 Apr;63(4):334-41.
The use of minimally invasive techniques in the thoracic cavity allows for the application of operative techniques through endoscopic ways, avoiding the functional burdening of a thoracotomy. Indications of operative thoracoscopy are mentioned. Endoscopic surgical techniques are described. For example, the therapy of spontaneous pneumothorax can be carried out in its entirety by endoscopic leak ligature, wedge resection of the lung and parietal pleurectomy. Three of the 49 patients with spontaneous pneumothorax suffered from an early recurrence after thoracoscopic treatment (6.1%). Long-term results are still outstanding. The final merit of the method cannot yet be set.
在胸腔中使用微创技术可通过内镜方式应用手术技术，避免开胸手术带来的功能负担。文中提及了手术胸腔镜检查的适应症，并描述了内镜手术技术。例如，自发性气胸的治疗可通过内镜下漏口结扎、肺楔形切除术和壁层胸膜切除术全部完成。49例自发性气胸患者中有3例在胸腔镜治疗后早期复发（6.1%）。长期效果仍然显著。该方法的最终优点尚未确定。
