Bedetti Benedetta, Solli Pierfiorgio, Lawrence David, Panagiotopoulos Nikolaos, Hayward Martin, Scarci Marco
Department of Thoracic Surgery, University College of London Hospitals, London, UK.
Department of Thoracic Surgery, Morgagni-Pierantoni Hospital, Forli, Italy.
J Vis Surg. 2016 Sep 1;2:149. doi: 10.21037/jovs.2016.08.07. eCollection 2016.
Over the past decade, video-assisted thoracic surgery (VATS) has started to replace median sternotomy for the resection of non-invasive anterior mediastinal masses, including thymoma. In fact, many studies confirmed that, compared to standard sternotomy, VATS thymectomy results in less post-operative pain, better preserved pulmonary function, improved cosmesis (which can be particularly important to many young female myasthenia gravis patients) and is oncologically feasible for non-invasive thymomas as long as en bloc resection of the tumour is achieved. Classically three ports are used, but the current trend is to reduce the number of ports and minimize the length of incisions to further decrease postoperative pain, chest wall paraesthesia, and length of hospitalization. Uniportal VATS thymectomy for non-invasive mediastinal tumour resection is proven to be a safe and reliable method. In this paper we describe and illustrate our technique for single port VATS thymectomy.
在过去十年中，电视辅助胸腔镜手术（VATS）已开始取代正中胸骨切开术用于切除包括胸腺瘤在内的非侵袭性前纵隔肿物。事实上，许多研究证实，与标准胸骨切开术相比，VATS胸腺切除术术后疼痛更少、肺功能保留更好、美容效果更佳（这对许多年轻女性重症肌无力患者尤为重要），并且只要能整块切除肿瘤，对于非侵袭性胸腺瘤在肿瘤学上也是可行的。传统上使用三个切口，但目前的趋势是减少切口数量并尽量缩短切口长度，以进一步减轻术后疼痛、胸壁感觉异常和缩短住院时间。单孔VATS胸腺切除术用于非侵袭性纵隔肿瘤切除已被证明是一种安全可靠的方法。在本文中，我们描述并展示了单孔VATS胸腺切除术的技术。
