Sandri Alberto, Sihoe Alan D L, Salati Michele, Gonzalez-Rivas Diego, Brunelli Alessandro
Department of Thoracic Surgery, European Institute of Oncology, Milan, Italy.
Department of Thoracic Surgery, Tongji University Shanghai Pulmonary Hospital, Shanghai, China.
Thorac Surg Clin. 2017 Nov;27(4):417-423. doi: 10.1016/j.thorsurg.2017.06.010. Epub 2017 Aug 10.
Interest in uniportal video-assisted thoracic surgery (VATS) is rapidly growing worldwide because it represents the surgical approach to the lung with the least possible trauma. Specific training in this surgical approach is crucial due to its technical implications, to perform it safely while upholding the required therapeutic radicality. Novel strategies, such as interactive learning technologies, simulators, high-volume preceptorships, and targeted proctorships, play important roles in the training for uniportal VATS which, ideally, should be standardized, governed, and credentialed by national and international surgical societies to ensure patient safety and academic responsibility.
单孔电视辅助胸腔镜手术(VATS)在全球范围内的关注度正迅速增长,因为它代表了对肺部进行手术时创伤最小的手术方式。鉴于其技术复杂性,针对这种手术方式的特定培训至关重要,以便在保证所需治疗彻底性的同时安全地进行手术。诸如交互式学习技术、模拟器、大量带教实习以及针对性监考等新策略,在单孔VATS培训中发挥着重要作用。理想情况下,单孔VATS培训应由国家和国际外科学会进行标准化、管理并授予资质,以确保患者安全和学术责任。