Van Niekerk M L
Division of Paediatrics Surgery, Department of Surgery, University of Pretoria.
S Afr J Surg. 2011 Mar 14;49(1):33-5.
Brad Rogers reported the first significant use of thoracoscopy in children in the late 1970s. Over the past two decades there has been an exponential growth and expansion of this technique. Many advanced procedures, including lobectomy, repair of tracheo-esophageal fistula, excision of mediastinal tumours and diaphragmatic hernia repairs, are being done routinely in pediatric surgery centres around the world. This article reviews the state of the art of thoracoscopic surgery in children. The author selected five procedures which in his opinion are most relevant for this discussion. The thoracoscopic technique seems to offer a favourable alternative to open surgery, but more clinical research is necessary to confirm the benefits of minimal access surgery.
布拉德·罗杰斯在20世纪70年代末报道了胸腔镜在儿童中的首次重要应用。在过去的二十年里，这项技术呈指数级增长和扩展。许多先进的手术，包括肺叶切除术、气管食管瘘修复术、纵隔肿瘤切除术和膈疝修补术，正在世界各地的儿科手术中心常规开展。本文回顾了儿童胸腔镜手术的现状。作者选择了他认为最适合本次讨论的五种手术。胸腔镜技术似乎为开放手术提供了一个有利的替代方案，但需要更多的临床研究来证实微创手术的益处。
