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单孔电视辅助胸腔镜手术中的技术辅助设备。

Technological aids in uniportal video-assisted thoracoscopic surgery.

作者信息

Roque Cañas Sonia Raquelline, Oviedo Argueta Alonso José, Wu Ching Feng, Gonzalez-Rivas Diego

机构信息

Department of General Surgery, Salvadoran Social Security Institute, San Salvador, El Salvador.

Department of Thoracic Surgery and Lung Transplant, Coruña University Hospital, Coruña, Spain.

出版信息

J Vis Surg. 2017 Mar 17;3:29. doi: 10.21037/jovs.2017.01.05. eCollection 2017.

Abstract

With the evolution of uniportal video-assisted thoracoscopic surgery (VATS), the technological aids have come to help skill surgeons to improve the results in thoracic surgery and feasible to perform a complex surgery. The technological aids are divided into three important groups, which make surgical steps easy to perform, besides reducing surgical time and surgical accidents in the hands of experienced surgeons. The groups are: (I) conventional thoracoscopic instruments; (II) sealing devices using in uniportal VATS; (III) high definition cameras, robotic arms prototype and the future robotic aids for uniportal VATS surgery. Uniportal VATS is an example of the continuing search for methods that aim to provide the patient a surgical cure of the disease with the lowest morbidity. That is the reason companies are creating more and new technologies, but the surgeon have to choose properly and to know how, when and where is the moment to use each new aids to avoid mistakes. The future of the thoracic surgery is based on evolution of surgical procedures and innovations to try to reduce even more the surgical and anesthetic trauma. This article summarizes the technological aids to improve and help a thoracoscopics surgeons perform a uniportal VATS feasible and safe.

摘要

随着单孔电视辅助胸腔镜手术(VATS)的发展,技术辅助手段已开始帮助技术娴熟的外科医生提高胸外科手术的效果,并使复杂手术的实施成为可能。技术辅助手段分为三个重要类别,这不仅使手术步骤易于执行,还能减少经验丰富的外科医生的手术时间和手术事故。这些类别包括:(I)传统胸腔镜器械;(II)单孔VATS中使用的密封装置;(III)高清摄像头、机械臂原型以及未来用于单孔VATS手术的机器人辅助设备。单孔VATS是不断寻求旨在以最低发病率为患者提供疾病手术治愈方法的一个例子。这就是公司不断创造更多新技术的原因,但外科医生必须正确选择并了解如何、何时以及在何处使用每种新辅助设备以避免失误。胸外科的未来基于手术程序的发展和创新,试图进一步减少手术和麻醉创伤。本文总结了技术辅助手段,以改进并帮助胸腔镜外科医生安全、可行地实施单孔VATS。

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