Han Kook Nam, Kim Hyun Koo, Lee Hyun Joo, Choi Young Ho
Departments of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
J Vis Surg. 2015 Sep 24;1:11. doi: 10.3978/j.issn.2221-2965.2015.07.06. eCollection 2015.
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.
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.
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.
A single-incision VATS segmentectomy might be a feasible option for the treatment of early lung cancer in selected patients.
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。
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。
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。
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。
