Ohara Keiji
Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
Kyobu Geka. 2009 Apr;62(4):262-6.
Video-assisted thoracic surgery (VATS) lobectomy provides a minimally invasive technique for treatment of lung cancer, but is still only performed in a few specialized centers around the world. Therefore in a hospital, where only one experienced thoracoscopic surgeon exists, a safe and less invasive surgery is required. From January 2001 to July 2008, we performed 316 VATS lobectomies, in which the special VATS of 163 cases were included. The procedure was based on a mini-thoracotomy with rib spreading under the condition of 2 skin incisions of 5 cm and 1 cm on axillar part. This method is probably less invasive than our former procedure. Coping with both universality and less invasion is requested in provincial hospitals.
电视辅助胸腔镜手术（VATS）肺叶切除术为肺癌治疗提供了一种微创技术，但目前全球仍只有少数几个专业中心开展此项手术。因此，在仅有一名经验丰富的胸腔镜外科医生的医院里，需要一种安全且侵入性较小的手术方式。2001年1月至2008年7月，我们共进行了316例VATS肺叶切除术，其中包括163例特殊的VATS手术。该手术基于在腋部做两个分别为5厘米和1厘米的皮肤切口，在肋骨撑开的情况下进行小切口开胸手术。此方法可能比我们之前的手术侵入性更小。省级医院需要兼顾手术的普遍性和低侵入性。
