Schewitz Ivan
Department of Cardiothoracic Surgery, Pretoria University, Pretoria, South Africa.
J Vis Surg. 2017 Mar 31;3:42. doi: 10.21037/jovs.2017.03.10. eCollection 2017.
This study was stimulated by the increasing use of uniportal thoracoscopic surgery. If a lobectomy can be performed through one small incision why not the much simpler Nuss procedure? The Nuss procedure was performed with the use of the surgical incision for the camera. Initially the patient was positioned so that the standard site for the camera could be utilized. Once it become obvious that the uniportal approach worked the patient was positioned in the middle of the table. In all cases the uniportal approach in my hands was easy and made the operation less cumbersome. I offer this approach to simplify the operation.
这项研究是由单孔胸腔镜手术的日益广泛应用所推动的。如果肺叶切除术可以通过一个小切口进行,那么为什么不能采用更简单的Nuss手术呢?Nuss手术是利用用于放置摄像头的手术切口来进行的。最初,患者的体位是为了能够利用放置摄像头的标准位置。一旦明显单孔入路可行,就将患者置于手术台中间。在我操作的所有病例中,单孔入路都很容易,并且使手术不那么繁琐。我提供这种方法以简化手术。