Wightman Sean C, Angelos Peter
Department of Surgery, the University of Chicago, Chicago, Illinois, USA.
J Vis Surg. 2017 Feb 8;3:8. doi: 10.21037/jovs.2016.12.08. eCollection 2017.
Thoracic surgery is a field encompassing many diverse operative techniques ranging from open surgeries involving thoracotomies and sternotomies to less invasive operations such as video-assisted thoracoscopic surgery (VATS), endoscopy, and bronchoscopy. The popularity and acceptance of VATS has been increasing over time. Ethical considerations must be used to navigate patient misconceptions of VATS surgery, creating an appropriate informed consent process, determining appropriate patients for VATS, training future thoracic surgeons in VATS, and advancing thoracic surgery innovation. Thoracic surgeons are the gateway to determine what operation and what technique is appropriate to offer to each patient. This requires strict adherence to ethical standards as well as self-regulation.
胸外科是一个涵盖多种不同手术技术的领域，从涉及开胸术和胸骨切开术的开放性手术到诸如电视辅助胸腔镜手术（VATS）、内窥镜检查和支气管镜检查等侵入性较小的手术。随着时间的推移，VATS的普及程度和接受度一直在增加。必须运用伦理考量来应对患者对VATS手术的误解，建立适当的知情同意程序，确定适合VATS手术的患者，对未来的胸外科医生进行VATS培训，并推动胸外科创新。胸外科医生是决定为每位患者提供何种手术和何种技术的关键。这需要严格遵守道德标准以及自我监管。
