两厘米单切口胸腔镜左上叶分段切除术。
A 2-cm single-incision thoracoscopic left upper division segmentectomy.
作者信息
Han Kook Nam, Kim Hyun Koo, Lee Hyun Joo, Choi Young Ho
机构信息
Departments of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
出版信息
J Vis Surg. 2015 Sep 24;1:11. doi: 10.3978/j.issn.2221-2965.2015.07.06. eCollection 2015.
BACKGROUND
A video-assisted thoracic surgery (VATS) sublobar resection for early lung malignancy has been applied recently in selected patients with the improvement in surgical technique.
METHODS
From 2012, we began VATS segmentectomy with 2-cm single incision in early lung cancer (T1a, tumor size <2 cm) and no lymph node metastasis with preoperative dual localization for lung lesion.
RESULTS
In the video clip, we performed a 2-cm single-incisional VATS segmentectomy for early lung cancer at left upper lobe upper divisional segment and lymph node dissection using a 5-mm thoracoscope, articulating or curved endoscopic devices. Dual localization for lung lesion could help to identify the specific location of lung lesion. The potential benefits of single-incisional VATS segmentectomy include less intercostal pain, better postoperative outcomes more over than less incisional scar.
CONCLUSIONS
A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.
背景
随着手术技术的改进，电视辅助胸腔镜手术（VATS）肺叶下切除术最近已应用于部分早期肺癌患者。
方法
自2012年起，我们开始对早期肺癌（T1a，肿瘤大小<2 cm）且无淋巴结转移的患者采用2厘米单切口进行VATS肺段切除术，并对肺部病变进行术前双重定位。
结果
在视频片段中，我们使用5毫米胸腔镜、关节镜或弯曲内镜设备，对左上叶上段早期肺癌进行了2厘米单切口VATS肺段切除术和淋巴结清扫。肺部病变的双重定位有助于确定肺部病变的具体位置。单切口VATS肺段切除术的潜在益处包括肋间疼痛减轻、术后效果更好，而且切口疤痕更少。
结论
单切口VATS肺段切除术可能是部分早期肺癌患者治疗的一种可行选择。
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