Shao Wenlong, Yin Weiqiang, Wang Wei, Zhang Xin, Peng Guilin, Chen Xuewei, Mo Lili, He Jianxing
1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China.
J Thorac Dis. 2016 Mar;8(3):608-11. doi: 10.21037/jtd.2016.01.57.
The role of video-assisted thoracoscopic surgery (VATS) radical resection in the treatment of lung cancer has widely recognized. Studies have demonstrated that the thoracoscopic radical treatment of lung cancer can achieve similar long-term survival as that of conventional open surgeries; meanwhile, it can be applied for bronchial sleeve resection that is more challenging for most thoracic surgeons. Bronchial sleeve pneumonectomy can avoid total pneumonectomy when removing tumors, and therefore it can lower the surgery-associated mortality and improve the long-term survival by maximizing the preservation of lung function. Thus, it has become a standard procedure for central-type lung cancer. We have completed a glasses-free three-dimensional (3D) complete thoracoscopic surgery in a patient with central-type lung cancer in his right lung. During the surgery, we found the tumor had invaded the right pulmonary trunk, right main bronchus, and lateral wall of superior vena cava.
电视辅助胸腔镜手术（VATS）根治性切除术在肺癌治疗中的作用已得到广泛认可。研究表明，胸腔镜下肺癌根治性治疗可取得与传统开放手术相似的长期生存率；同时，它可用于大多数胸外科医生更具挑战性的支气管袖状切除术。支气管袖状肺叶切除术在切除肿瘤时可避免全肺切除术，因此通过最大限度地保留肺功能，可降低手术相关死亡率并提高长期生存率。因此，它已成为中央型肺癌的标准手术方式。我们为一名右肺中央型肺癌患者完成了无眼镜三维（3D）全胸腔镜手术。手术过程中，我们发现肿瘤侵犯了右肺动脉干、右主支气管和上腔静脉侧壁。
