电视辅助胸腔镜右下肺叶切除术：天津市胸科医院经验。
Video-assisted thoracoscopic right lower lobectomy: the Tianjin Chest Hospital experience.
机构信息
Tianjin Medical College, Tianjin 300222;
出版信息
J Thorac Dis. 2013 Aug;5 Suppl 3(Suppl 3):S282-4. doi: 10.3978/j.issn.2072-1439.2013.08.11.
Video-assisted thoracoscopic surgery (VATS) is now well established as an alternative to open thoracotomy for major pulmonary resections of bronchogenic carcinoma and benign disease. More than 900 VATS major pulmonary resections have been performed in our center over the last 5 years and we here describe our method for VATS right lower lobectomy. In our center, procedures is performed with 3 incisions. For right lower lobes, the patient is placed into the left lateral position. The inferior pulmonary vein is dissected and divided with an endoscopic vascular stapler. The pulmonary artery branches to right lower lobe are divided with endoscopic staplers, and the lower lobe bronchus is divided at last. Throughout the procedure, hilar and mediastinal lymph nodes are dissected and removed in NSCLC. According to our experience, VATS is safe and feasible in thoracotomy for major pulmonary resections.
电视辅助胸腔镜手术 (VATS) 现已成为治疗支气管肺癌和良性疾病的主要肺切除术的一种替代开放胸腔手术的方法。在过去的 5 年中，我们中心已经完成了超过 900 例 VATS 主要肺切除术，在此我们描述了我们进行 VATS 右下肺叶切除术的方法。在我们中心，该手术通过 3 个切口进行。对于右下肺叶，患者被置于左侧卧位。用内镜血管吻合器解剖和分离下肺静脉。用内镜吻合器分离右肺下叶的肺动脉分支，最后分离下叶支气管。在整个过程中，对非小细胞肺癌的肺门和纵隔淋巴结进行解剖和切除。根据我们的经验，VATS 是安全可行的，可用于主要肺切除术的开胸手术。
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