Hennon Mark W, Demmy Todd L
Department of Thoracic Surgery, Roswell Park Cancer Institute, Buffalo, NY, USA.
Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
J Vis Surg. 2017 Mar 17;3:32. doi: 10.21037/jovs.2017.02.06. eCollection 2017.
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.
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。