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当前进展:重新定义微创:单孔电视辅助胸腔镜手术

Current readings: Redefining minimally invasive: uniportal video-assisted thoracic surgery.

作者信息

Zeltsman David

机构信息

Division of Thoracic Surgery, Hofstra North Shore-LIJ School of Medicine, Long Island Jewish Medical Center, Great Neck, New York.

出版信息

Semin Thorac Cardiovasc Surg. 2014 Autumn;26(3):249-54. doi: 10.1053/j.semtcvs.2014.09.006. Epub 2014 Nov 4.

Abstract

Minimally invasive surgery is clearly dominating the modern surgical era across multiple surgical subspecialties and thoracic surgery is no exception. Video-assisted thoracic surgery (VATS) is a well-established method of performing various interventions, and it continues to gain momentum. Though small differences in VATS methods exist, it is commonly accepted as a non-rib-spreading approach into the thoracic cavity via 2-4 incisions and allows for a wide range of anatomical and nonanatomical pulmonary resections. As more experience is gained with VATS, more complex surgeries take place and greater refinement of the technique occurs. A newer single-incision or uniportal VATS has been described to minimize surgical trauma, to decrease the number and size of thoracic incisions, to reduce the number of complications, and to enable faster recovery. It allows performing a full spectrum of thoracic operations through a single incision adhering to surgical and oncological principles without compromise.

摘要

微创手术显然在现代外科手术时代主导着多个外科亚专业领域,胸外科也不例外。电视辅助胸腔镜手术(VATS)是一种成熟的进行各种干预的方法,并且其势头持续增强。尽管VATS方法存在细微差异,但它通常被认为是一种通过2至4个切口进入胸腔的非撑开肋骨的方法,可进行广泛的解剖性和非解剖性肺切除术。随着对VATS的经验积累,越来越多的复杂手术得以开展,该技术也得到了进一步完善。一种更新的单切口或单孔VATS已被描述,其目的是将手术创伤降至最低,减少胸壁切口的数量和大小,减少并发症的数量,并实现更快的康复。它能够通过单个切口,在不影响手术和肿瘤学原则的情况下,完成所有类型的胸外科手术。

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