Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain; ; Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña, Spain.
J Thorac Dis. 2013 Aug;5 Suppl 3(Suppl 3):S246-52. doi: 10.3978/j.issn.2072-1439.2013.07.44.
Video-assisted thoracoscopic surgery (VATS) was introduced nearly 2 decades ago and has experienced an exponential increase for lung cancer treatment. A pneumonectomy can be performed by video-assisted thoracoscopic surgery and the lung usually fits through the incision as usually used for VATS lobectomy. The most common approach for pneumonectomy is undertaken with 3 or 4 incisions, including a utility incision of about 3-6 cm. However, this resection is amenable by using only a single utility-incision. This chapter describes the technique for pneumonectomies by single-incision thoracoscopic approach with no rib spreading.
近 20 年前引入了电视辅助胸腔镜手术(VATS),并且已经在肺癌治疗方面经历了指数级的增长。可以通过电视辅助胸腔镜手术进行肺切除术,并且通常可以通过用于 VATS 肺叶切除术的切口将肺取出。肺切除术最常见的方法是通过 3 或 4 个切口进行,包括约 3-6 厘米的实用切口。然而,仅使用单个实用切口就可以进行这种切除。本章描述了一种无需肋骨撑开的单切口电视辅助胸腔镜肺切除术的技术。