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单孔电视胸腔镜右上叶切除术及系统性纵隔淋巴结清扫术

Uniportal video-assisted thoracoscopic right upper lobectomy and systemic mediastinal lymph nodes dissection.

作者信息

He Jia, Ma Dongjie, Li Shanqing

机构信息

Department of Thoracic Surgery, Peking Union Medical College Hospital, Beijing 100730, China.

出版信息

J Thorac Dis. 2017 Jun;9(6):1644-1647. doi: 10.21037/jtd.2017.05.26.

Abstract

Along with the progresses that have been made in techniques and instruments, uniportal video-assisted thoracoscopic surgery (VATS) became more and more popular. Here, we present the operation video of a 52-year-old female with early stage lung cancer in the right upper lobe (RUL), who underwent uniportal VATS right upper lobectomy and systemic mediastinal lymph nodes dissection performed by our team. The video demonstrated the Uniportal VATS techniques of hilar anatomy, bronchus and blood vessel separation, mediastinal lymph node areas exploration and en-bloc dissection. Once the vision angle is properly adapted, techniques and instruments are mastered, and the patients are well selected, uniportal VATS approach can be an alternative to the conventional VATS for early stage lung cancer.

摘要

随着技术和器械的进步,单孔电视辅助胸腔镜手术(VATS)越来越受欢迎。在此,我们展示了一名52岁右上叶早期肺癌女性患者的手术视频,该患者接受了我们团队实施的单孔VATS右上叶切除术和系统性纵隔淋巴结清扫术。该视频展示了单孔VATS肺门解剖、支气管和血管分离、纵隔淋巴结区域探查及整块切除的技术。一旦适应了视角、掌握了技术和器械并合理选择了患者,单孔VATS手术可作为早期肺癌传统VATS手术的替代方案。

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