Kondo Haruhiko
Division of Thoracic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
Nihon Geka Gakkai Zasshi. 2006 Mar;107(2):69-72.
Recently, video-assisted thoracoscopic surgery (VATS) has been widely applied in lung cancer surgery in Japan, although there is no consensus on the definition of VATS and its standard techniques. VATS lobectomy may result in long-term survival rates as high as after standard thoracotomy and is becoming an optional treatment for stage IA lung cancer. It is still not a standard treatment because of the problems of safety and oncologic radicality. However, as long as the safety and radicality are ensured by the tumor type, patient risk factors, and the expertise of the surgeon, less-invasive techniques like VATS should be performed.
近年来，电视辅助胸腔镜手术（VATS）在日本已广泛应用于肺癌手术，尽管对于VATS的定义及其标准技术尚无共识。VATS肺叶切除术可能产生与标准开胸术后一样高的长期生存率，并且正成为IA期肺癌的一种可选择的治疗方法。由于安全性和肿瘤根治性问题，它仍不是一种标准治疗方法。然而，只要根据肿瘤类型、患者风险因素和外科医生的专业技能确保了安全性和根治性，就应该采用像VATS这样的微创技术。
