电视辅助胸腔镜手术与开胸手术在肺癌治疗中的现状与未来
Video-assisted thoracic surgery and open chest surgery in lung cancer treatment: present and future.
作者信息
Detterbeck Frank, Molins Laureano
机构信息
Section of Thoracic Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Thoracic Surgery, Hospital Clínic & Sagrat Cor, University of Barcelona, Barcelona, Spain.
出版信息
J Vis Surg. 2016 Dec 6;2:173. doi: 10.21037/jovs.2016.11.03. eCollection 2016.
Abstract
Surgical resection remains the most effective treatment of early stage lung cancer. The surgical approach has evolved, and now consists primarily of video-assisted thoracic surgery (VATS) and more limited incisions even with open techniques. Both approaches have their place. Many factors contribute to deciding whether one or the other is better for a particular tumor, patient and in a particular setting and region. Video assisted surgery, where appropriate, is associated with fewer complications and a shorter hospital stay, and similar long term survival. But modern open surgery is also associated with good results. This article reviews the data and discusses considerations to weigh in finding the right balance between the video-assisted and the open approaches.
摘要
手术切除仍然是早期肺癌最有效的治疗方法。手术方式不断演变，目前主要包括电视辅助胸腔镜手术（VATS）以及即使采用开放技术切口也更有限的方式。两种方式都有其适用之处。许多因素决定了对于特定肿瘤、患者以及特定环境和地区而言，哪种方式更优。在合适的情况下，电视辅助手术并发症更少、住院时间更短，且长期生存率相似。但现代开放手术也能取得良好效果。本文回顾相关数据，并讨论在电视辅助手术和开放手术方式之间找到正确平衡时需要权衡的因素。
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