Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital and the Baird Institute for Applied Heart and Lung Surgical, University of Sydney, Sydney, NSW, Australia.
J Thorac Dis. 2009 Dec;1(1):34-8.
Since its inception, minimally invasive surgery has made a dramatic impact on all branches of surgery. Video-assisted thoracic surgery (VATS) lobectomy for early-stage non-small cell lung cancer (NSCLC) was first described in the early 1990s and has since become popular in a number of tertiary referral centers. Proponents of this relatively new procedure cite a number of potentially favorable perioperative outcomes, possibly due to reduced surgical trauma and stress. However, a significant proportion of the cardiothoracic community remains skeptical, as there is still a paucity of robust clinical data on long-term survival and recurrence rates.The definition of 'true' VATS has also been under scrutiny, with a number of previous studies being considered 'mini-thoracotomy lobectomy' rather than VATS lobectomy. We hereby examine the literature on true VATS lobectomy, with a particular focus on comparative studies that directly compared VATS lobectomy with conventional open lobectomy.
自诞生以来，微创外科技术在各个外科领域都产生了巨大的影响。视频辅助胸腔镜手术（VATS）肺叶切除术治疗早期非小细胞肺癌（NSCLC）于 20 世纪 90 年代初首次被描述，此后在许多三级转诊中心得到普及。该相对较新手术程序的支持者引用了许多潜在的有利围手术期结果，这可能是由于手术创伤和应激减少所致。然而，仍有相当一部分心胸外科医生对此持怀疑态度，因为关于长期生存率和复发率的可靠临床数据仍然缺乏。“真正”VATS 的定义也受到了审查，因为许多先前的研究被认为是“小切口开胸肺叶切除术”而不是 VATS 肺叶切除术。我们在此检查了关于真正的 VATS 肺叶切除术的文献，特别关注直接比较 VATS 肺叶切除术与传统开放性肺叶切除术的对比研究。
