Ng Calvin S H, Capili Freddie, Zhao Ze-Rui, Yu Peter S Y, Ho Jacky Y K, Lau Rainbow W H
Department of Surgery, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
J Thorac Dis. 2017 Mar;9(3):846-848. doi: 10.21037/jtd.2017.02.100.
Uniportal video-assisted thoracic surgery (VATS) lung wedge resection usually requires three devices, thoracoscope, lung retracting instrument and an endo-stapler cutter to perform the procedure. With advances in miniaturization of the thoracoscope and lung retracting instruments, a major limitation to operating through a smaller uniportal incision has become the endo-stapler. We describe the surgical technique for uniportal VATS laser lung resection which uses a much narrower laser catheter device to replace the endo-stapler for resection. The new approach to limited lung resection can potentially reduce instrument fencing and the uniportal incision wound size, while achieving satisfactory hemostasis and pneumostasis.
单孔电视辅助胸腔镜手术（VATS）肺楔形切除术通常需要三种设备，即胸腔镜、肺牵拉器械和腔内吻合器切割器来完成该手术。随着胸腔镜和肺牵拉器械的小型化进展，通过较小的单孔切口进行手术的一个主要限制因素已成为腔内吻合器。我们描述了单孔VATS激光肺切除术的手术技术，该技术使用一种更窄的激光导管设备来替代腔内吻合器进行切除。这种有限肺切除术的新方法有可能减少器械冲突并缩小单孔切口的伤口大小，同时实现令人满意的止血和气胸控制。
