Rakovich George, Deslauriers Jean
Department of Surgery at the University of Montreal, Montreal, Quebec, Canada.
Department of Surgery, Laval University, Quebec City, Quebec, Canada.
J Vis Surg. 2017 Mar 8;3:25. doi: 10.21037/jovs.2017.01.01. eCollection 2017.
This article reviews the anatomy of the mediastinum as well as indications, limitations, techniques, and results of video-assisted thoracic surgery (VATS) and other minimally-invasive open-chest surgery approaches currently used for the surgical management of mediastinal tumors and masses. It is written by two surgeons with vastly different backgrounds and thoracic surgical experience. One of them is young and very familiar with VATS approaches and technologies while the other is a senior surgeon relatively unfamiliar with minimally-invasive techniques. This combination of authorship is ideal to analyze the pros and cons of the use of minimally-invasive approaches for the surgical management of mediastinal lesions such as thymic epithelial tumors (TETs) or neurogenic tumors. This is important because several thoracic surgeons have expressed concerns about the ability of thoracoscopic procedures to maintain adherence to sound oncological principles.
本文回顾了纵隔的解剖结构，以及目前用于纵隔肿瘤和肿块外科治疗的电视辅助胸腔镜手术（VATS）和其他微创开胸手术方法的适应症、局限性、技术和结果。本文由两位背景和胸外科经验差异很大的外科医生撰写。其中一位年轻，非常熟悉VATS方法和技术，而另一位是相对不熟悉微创技术的资深外科医生。这种作者组合非常适合分析使用微创方法治疗纵隔病变（如胸腺上皮肿瘤（TETs）或神经源性肿瘤）的利弊。这一点很重要，因为几位胸外科医生对胸腔镜手术坚持合理肿瘤学原则的能力表示担忧。
