Ramos Antonio B
Department of Thoracic Surgery and Anesthesia, Lung Center of the Philippines, Quezon City, Philippines.
J Vis Surg. 2016 Apr 14;2:82. doi: 10.21037/jovs.2016.03.19. eCollection 2016.
Video-assisted thoracoscopic surgery (VATS) was introduced in the Philippines in 1992. Initially, multiport VATS was utilized for lung resections in 2012. In 2015, after attending a couple of Asian uniportal VATS workshops, where one of the lecturers/surgeons was Dr. Diego Gonzalez-Rivas, Filipino surgeons were able to do uniportal VATS for a lobectomy in 2015. In November 2015, Dr. Rivas went to the Philippines to give lectures and conduct a VATS pre-congress workshop during the 25 Clinical Congress of the Association of Thoracic and Cardiovascular Surgeons of Asia (ATCSA). He then went to the Lung Center of the Philippines (LCP) where he delivered a lecture and performed a uniportal VATS lobectomy on a 64-year-old male patient who had Adenocarcinoma of the left lower lobe. Anesthetic and surgical techniques are described. Uniportal VATS is a safe procedure and oncologic results are comparable with resections done using open thoracotomy. The patients' quality of life is better because of significantly less pain after the procedure.
电视辅助胸腔镜手术(VATS)于1992年引入菲律宾。最初,2012年多端口VATS被用于肺切除术。2015年,在参加了几次亚洲单孔VATS研讨会后(其中一位讲师/外科医生是迭戈·冈萨雷斯 - 里瓦斯博士),菲律宾外科医生于2015年能够进行单孔VATS肺叶切除术。2015年11月,里瓦斯博士前往菲律宾进行讲座,并在亚洲胸心血管外科医师协会(ATCSA)第25届临床大会期间举办了一次VATS会前研讨会。随后他前往菲律宾肺科中心(LCP),在那里他发表了演讲,并为一名患有左下叶腺癌的64岁男性患者进行了单孔VATS肺叶切除术。文中描述了麻醉和手术技术。单孔VATS是一种安全的手术,肿瘤学结果与开胸手术相当。由于术后疼痛明显减轻,患者的生活质量更好。