Gonzalez-Rivas Diego, Yang Yang, Ng Calvin
Minimally Invasive Thoracic Surgery Unit (UCTMI), Department of Thoracic Surgery, Coruña University Hospital, Xubias 84, Coruña 15006, Spain; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507, Road Zhengmin, Shanghai 200433, China.
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, 507, Road Zhengmin, Shanghai 200433, China.
Thorac Surg Clin. 2016 May;26(2):187-201. doi: 10.1016/j.thorsurg.2015.12.007. Epub 2016 Feb 10.
Uniportal video-assisted thoracic surgery (VATS) represents a radical change in the approach to lung resection compared with conventional VATS. Because the placement of the surgical instruments and the camera is done through the same incision, uniportal VATS can pose a challenge for both the surgeon and the assistant. Recent industry improvements have made single-port VATS easier to learn. We can expect more developments of subcostal or embryonic natural orifice translumenal endoscopic surgery access, improvements in 3D image systems, single-port robotics, and wireless cameras. The advances in digital technology may facilitate the adoption of the uniportal VATS technique.
与传统电视辅助胸腔镜手术（VATS）相比，单孔电视辅助胸腔镜手术在肺切除方法上代表了一种根本性的改变。由于手术器械和摄像头通过同一个切口放置，单孔VATS对外科医生和助手来说都可能是一项挑战。最近行业的改进使单孔VATS更容易学习。我们可以期待肋下或胚胎自然腔道内镜手术入路有更多发展，3D图像系统、单孔机器人技术和无线摄像头也会有所改进。数字技术的进步可能会促进单孔VATS技术的应用。
