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上海肺科医院的剑突下肺叶切除术入路。

The Shanghai Pulmonary Hospital subxiphoid approach for lobectomies.

作者信息

Aresu Giuseppe, Wu Liang, Lin Lei, Jiang Gening, Jiang Lei

机构信息

Department of Cardiothoracic Surgery, Santa Maria della Misericordia University Hospital, Udine 33100, Italy.

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

出版信息

J Vis Surg. 2016 Aug 4;2:135. doi: 10.21037/jovs.2016.07.09. eCollection 2016.

Abstract

Video-assisted thoracoscopic surgery (VATS) has recognized benefits. However, patients undergoing VATS also complain acute and sometime chronic postoperative pain due to the damage of the intercostal bundles. Subxiphoid uniportal VATS has been presented as alternative approach that can completely avoid the intercostal nerve injury and further reduce the surgical outcome. The aim of this manuscript is to illustrate the Shanghai Pulmonary Hospital uniportal subxiphoid lobectomy surgical techniques.

摘要

电视辅助胸腔镜手术(VATS)已被公认具有诸多益处。然而,接受VATS手术的患者也会因肋间束受损而抱怨术后出现急性疼痛,有时甚至是慢性疼痛。剑突下单孔VATS已作为一种替代方法被提出,它可以完全避免肋间神经损伤,并进一步改善手术效果。本文的目的是阐述上海肺科医院单孔剑突下肺叶切除术的手术技巧。

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