Wang Guangsuo, Wang Zheng, Sun Xuefeng, Huang Tonghai, Ding Guanggui
Department of General Thoracic Surgery, Second Affiliated Hospital, Medical College of Ji'nan University, Shenzhen People's Hospital, Shenzhen 518020, China.
J Vis Surg. 2016 Sep 8;2:154. doi: 10.21037/jovs.2016.08.08. eCollection 2016.
Increasing evidences prove video-assisted thoracic surgery (VATS) segmentectomy is accepted as a valid alternative to lobectomy esp. a greater number of small lung nodules have been detected. Uniportal VATS segmentectomy for small-sized lung cancer is more challenging not only for technical issues in simple or complex uniportal segmentectomy, but also considering oncological efficacy in terms of localization, safe margin, the extent of lymph node dissection and pathological analysis. In this work, we evaluated our evolving uniportal experience, the surgical technique and decision-making of uniportal VATS segmentectomy for small-sized lung cancer.
越来越多的证据表明，电视辅助胸腔镜手术（VATS）肺段切除术已被公认为是肺叶切除术的一种有效替代方法，尤其是在检测出更多小肺结节的情况下。单孔VATS肺段切除术治疗小尺寸肺癌更具挑战性，这不仅体现在简单或复杂单孔肺段切除术的技术问题上，还体现在肿瘤学疗效方面，包括定位、安全切缘、淋巴结清扫范围和病理分析。在这项研究中，我们评估了我们不断发展的单孔手术经验、单孔VATS肺段切除术治疗小尺寸肺癌的手术技术和决策制定。
