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非插管单孔电视辅助胸腔镜手术过程——手术直播

Nonintubated uniportal video-assisted thoracic surgery course-live surgery.

作者信息

Karalevičiūtė Rasa, Gonzalez-Rivas Diego

机构信息

Department of Cardiothoracic and Vascular Surgery, The Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.

出版信息

J Vis Surg. 2016 Jan 18;2:15. doi: 10.3978/j.issn.2221-2965.2015.12.10. eCollection 2016.

Abstract

"Uniportal video-assisted thoracic surgery (VATS) course-live surgery" was held on 23 of November 2015 in Lithuania, The Hospital of Lithuanian University of Health Sciences Kaunas Clinics. This international event has attracted many thoracic surgeons, doctors anesthesiologists-reanimatologists, operative theatre nurses and other medical specialists from Lithuania, Latvia, Estonia and Poland. The special guests of the conference were thoracic surgeon Dr. Diego Gonzalez-Rivas and doctor anesthesiologist Dr. Humberto Aymerich Cano. Since the first uniportal VATS lobectomy was performed on 29 of July, 2010, this innovative minimally invasive surgical technique has been adopted in many countries of the world. The first nonintubated VATS for lobectomy was initially described in 2007, although general anesthesia with intubation and one lung ventilation was traditionally considered to be necessary for major thoracoscopic pulmonary resections. During this course, right upper and left upper uniportal VATS lobectomies were performed for nonintubated patients, diagnosed with non-small cell lung cancer. These successful examples demonstrate a minimally invasive surgical technique-uniportal VATS lobectomy for a nonintubated patient.

摘要

“单孔电视辅助胸腔镜手术(VATS)课程——现场手术”于2015年11月23日在立陶宛考纳斯市立陶宛卫生科学大学医院诊所举行。这项国际活动吸引了来自立陶宛、拉脱维亚、爱沙尼亚和波兰的许多胸外科医生、麻醉复苏科医生、手术室护士及其他医学专家。会议的特邀嘉宾是胸外科医生迭戈·冈萨雷斯 - 里瓦斯博士和麻醉科医生温贝托·艾梅里奇·卡诺博士。自2010年7月29日实施首例单孔VATS肺叶切除术以来,这种创新的微创手术技术已在世界许多国家得到应用。首例非插管VATS肺叶切除术最初于2007年被描述,尽管传统上认为对于大型胸腔镜肺切除术,插管全身麻醉和单肺通气是必要的。在本次课程中,为诊断为非小细胞肺癌的非插管患者实施了右上叶和左上叶单孔VATS肺叶切除术。这些成功案例展示了一种针对非插管患者的微创手术技术——单孔VATS肺叶切除术。

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