From the Department of Surgery, Duke University Medical Center, Durham, North Carolina.
J Natl Compr Canc Netw. 2015 Feb;13(2):162-4. doi: 10.6004/jnccn.2015.0023.
The use of video-assisted thoracoscopic surgery (VATS) has become the standard approach for the surgical resection of early-stage lung cancer. Although no large prospective, randomized, controlled trial has compared VATS lobectomy with thoracotomy, well-designed retrospective studies have consistently shown that VATS has comparable oncologic outcomes and is associated with fewer complications, reduced length of hospital stay, improvement in patient quality of life, and superior tolerance of adjuvant therapies.
视频辅助胸腔镜手术(VATS)的使用已成为早期肺癌手术切除的标准方法。虽然没有大型前瞻性、随机、对照试验比较过 VATS 肺叶切除术与开胸手术,但精心设计的回顾性研究一致表明,VATS 具有相当的肿瘤学结果,并与更少的并发症、缩短住院时间、改善患者生活质量以及更好地耐受辅助治疗相关。