Department of Surgery, The Chinese University of Hong Kong, Hong Kong.
Respirology. 2010 Jan;15(1):6-18. doi: 10.1111/j.1440-1843.2009.01653.x. Epub 2009 Nov 30.
Minimally invasive thoracic surgery (MITS) has become part of the modern thoracic surgeon's armamentarium. Its applications include diagnostic and therapeutic procedures, and over the past one and a half decades, the scope of MITS has undergone rapid evolution. The role of MITS is well established in the management of pleural and mediastinal conditions, and it is beginning to move beyond diagnostic procedures for lung parenchyma conditions, to gain acceptance as a viable option for primary lung cancer treatment. However MITS poses technical challenges that are quite different from the conventional open surgical procedures. After a brief review of the history of MITS, an overview of the scope of MITS is given. Important examples of diagnostic and therapeutic indications are then discussed, with special emphasis on the potential complications specific to MITS, and their prevention and management.
微创胸外科 (MITS) 已成为现代胸外科医生的重要手段之一。其应用包括诊断和治疗程序，在过去的十五年中，MITS 的应用范围经历了快速发展。MITS 在胸膜和纵隔疾病的治疗中已得到广泛认可，并且开始超越肺实质疾病的诊断程序，作为治疗原发性肺癌的可行选择。然而，MITS 带来了与传统开放手术完全不同的技术挑战。在简要回顾 MITS 的历史之后，本文概述了 MITS 的应用范围。然后讨论了一些重要的诊断和治疗适应证示例，特别强调了 MITS 特有的潜在并发症及其预防和管理。
