Demmy Todd L, Nwogu Chukwumere
Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, New York 14263, USA.
Ann Thorac Surg. 2008 Feb;85(2):S719-28. doi: 10.1016/j.athoracsur.2007.09.056.
Video-assisted thoracic surgery lobectomy has controversial advantages over traditional open surgical approaches. Subjective concerns such as pain, dyspnea, physical functioning, and overall satisfaction generally favor VATS but vary depending on survey timing. Independence, a major quality of life component, favors video-assisted thoracic surgery because fewer objective hospital and discharge resources are needed because pulmonary function, activity level, muscle strength, and walking capacity are better. Video-assisted thoracic surgery often hastens return to work and facilitates adjuvant chemotherapy or subsequent urgent surgical procedures. Video-assisted thoracic surgery-related quality of life benefits are amplified by advanced age (or other frailties) and reduced by advanced cancer stage or comorbid illness.
与传统开放手术方法相比，电视辅助胸腔镜手术肺叶切除术具有存在争议的优势。诸如疼痛、呼吸困难、身体功能和总体满意度等主观因素通常有利于电视辅助胸腔镜手术，但会因调查时间的不同而有所差异。独立性是生活质量的一个主要组成部分，它有利于电视辅助胸腔镜手术，因为由于肺功能、活动水平、肌肉力量和行走能力更好，所需的客观医院资源和出院资源更少。电视辅助胸腔镜手术通常能加速患者重返工作岗位，并便于进行辅助化疗或后续紧急外科手术。电视辅助胸腔镜手术相关的生活质量益处会因高龄（或其他虚弱因素）而增强，因癌症晚期或合并症而减弱。
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