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电视辅助胸腔镜下左肺切除术技术

Technique of video-assisted thoracoscopic left pneumonectomy.

作者信息

Hennon Mark W, Demmy Todd L

机构信息

Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, NY, USA.

Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA.

出版信息

J Vis Surg. 2017 Mar 17;3:32. doi: 10.21037/jovs.2017.02.06. eCollection 2017.

DOI:10.21037/jovs.2017.02.06
PMID:29078595
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5637945/
Abstract

Video-assisted thoracoscopic surgery (VATS) approaches to lobectomy for treatment of early stage non-small cell lung cancer (NSCLC) have generally been accepted to be beneficial. Experience and results for more extensive resections, including thoracoscopic pneumonectomy are limited. Here we report a case with attached videos describing key technical aspects of performing a thoracoscopic left pneumonectomy. This demonstrates the adoption of VATS for tumor pathology requiring pneumonectomy is feasible and can be done safely. Further study is needed to clarify potential advantages or drawbacks to approaching more complex tumor pathology by VATS.

摘要

电视辅助胸腔镜手术(VATS)用于早期非小细胞肺癌(NSCLC)肺叶切除术的方法已被普遍认为是有益的。包括胸腔镜全肺切除术在内的更广泛切除术的经验和结果有限。在此,我们报告一例附有视频的病例,描述了进行胸腔镜左全肺切除术的关键技术要点。这表明采用VATS进行需要全肺切除术的肿瘤病理治疗是可行的,并且可以安全进行。需要进一步研究以阐明通过VATS处理更复杂肿瘤病理的潜在优势或劣势。

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[To Explore Clinical Value of Single-port Video-assisted Thoracoscopic Surgery 
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Analyzing the impact of minimally invasive surgical approaches on post-operative outcomes of pneumonectomy and sleeve lobectomy patients.分析微创外科手术方法对肺切除术和袖状肺叶切除术患者术后结局的影响。
J Thorac Dis. 2023 May 30;15(5):2497-2504. doi: 10.21037/jtd-22-654. Epub 2023 Apr 18.

本文引用的文献

1
VATS lobectomy has better perioperative outcomes than open lobectomy: CALGB 31001, an ancillary analysis of CALGB 140202 (Alliance).电视辅助胸腔镜肺叶切除术比开放性肺叶切除术具有更好的围手术期结果:CALGB 31001,CALGB 140202(联盟)的一项辅助分析。
Ann Thorac Surg. 2015 Feb;99(2):399-405. doi: 10.1016/j.athoracsur.2014.09.018. Epub 2014 Dec 10.
2
Thoracoscopic pneumonectomy: an 11-year experience.胸腔镜肺切除术:11 年经验。
Chest. 2014 Nov;146(5):1300-1309. doi: 10.1378/chest.14-0058.
3
Contraindications of video-assisted thoracoscopic surgical lobectomy and determinants of conversion to open.电视辅助胸腔镜手术肺叶切除术的禁忌证及转为开胸手术的决定因素。
J Thorac Dis. 2013 Aug;5 Suppl 3(Suppl 3):S182-9. doi: 10.3978/j.issn.2072-1439.2013.07.08.
4
Video-assisted thoracic surgery rib resection and reconstruction with titanium plate.电视辅助胸腔镜手术肋骨切除与钛板重建。
Ann Thorac Surg. 2011 Aug;92(2):744-5. doi: 10.1016/j.athoracsur.2011.03.019.
5
Thoracoscopic lobectomy: the gold standard for early-stage lung cancer?胸腔镜肺叶切除术:早期肺癌的金标准?
Ann Thorac Surg. 2010 Jun;89(6):S2098-101. doi: 10.1016/j.athoracsur.2010.02.102.
6
Thoracoscopic lobectomy is associated with lower morbidity than open lobectomy: a propensity-matched analysis from the STS database.胸腔镜肺叶切除术与开放性肺叶切除术相比,发病率较低:来自 STS 数据库的倾向匹配分析。
J Thorac Cardiovasc Surg. 2010 Feb;139(2):366-78. doi: 10.1016/j.jtcvs.2009.08.026.
7
Is thoracoscopic pneumonectomy safe?电视胸腔镜肺切除术安全吗?
Ann Thorac Surg. 2009 Oct;88(4):1086-92. doi: 10.1016/j.athoracsur.2009.05.065.
8
Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy.与开胸手术相比,胸腔镜肺叶切除术的发病率较低。
J Thorac Cardiovasc Surg. 2009 Aug;138(2):419-25. doi: 10.1016/j.jtcvs.2009.04.026.
9
Thoracoscopic lobectomy facilitates the delivery of chemotherapy after resection for lung cancer.胸腔镜肺叶切除术有助于肺癌切除术后化疗的实施。
Ann Thorac Surg. 2007 Apr;83(4):1245-9; discussion 1250. doi: 10.1016/j.athoracsur.2006.12.029.
10
Minimally invasive pneumonectomy.微创肺切除术
Ann Thorac Surg. 2006 Jul;82(1):e3-4. doi: 10.1016/j.athoracsur.2006.04.054.