Xu Xin, Qiu Yuan, Pan Hui, Mo Lili, Chen Hanzhang, 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):612-6. doi: 10.21037/jtd.2016.01.55.
Lung cancer invading the superior vena cava (SVC) is a locally advanced condition, for which poor prognosis is expected with conservative treatment alone. Surgical resection of the lesion can rapidly relieve the symptoms and significantly improve survival for some patients. Replacement, repair and partial resection of SVC via thoracotomy were generally accepted and used in the past. As the rapid development of minimally invasive techniques and devices, partial resection and repair of SVC are feasible via video-assisted thoracic surgery (VATS). However, few studies have reported the VATS surgical techniques. In this study, we reported the crucial techniques of partial resection of SVC via VATS.
肺癌侵犯上腔静脉(SVC)是一种局部晚期疾病,仅采用保守治疗预后较差。手术切除病变可迅速缓解症状,并显著提高部分患者的生存率。过去,经胸切口对上腔静脉进行置换、修复和部分切除已被广泛接受和应用。随着微创技术和设备的快速发展,通过电视辅助胸腔镜手术(VATS)对上腔静脉进行部分切除和修复是可行的。然而,很少有研究报道VATS手术技术。在本研究中,我们报告了通过VATS对上腔静脉进行部分切除的关键技术。