González-Rivas Diego, Lirio Francisco, Sesma Julio
Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI), Coruña University Hospital, Coruña, Spain.
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
J Vis Surg. 2017 Jul 26;3:91. doi: 10.21037/jovs.2017.05.12. eCollection 2017.
Nowadays, sublobar anatomic resections are gaining momentum as a valid alternative for early stage lung cancer. Despite being technically demanding, anatomic segmentectomies can be performed by uniportal video-assisted thoracic surgery (VATS) approach to combine the benefits of minimally invasiveness with the maximum lung sparing. This procedure can be even more complex if a combined resection of multiple segments from different lobes has to be done. Here we report five cases of combined and unusual segmentectomies done by the same experienced surgeon in high volume institutions to show uniportal VATS is a feasible approach for these complex resections and to share an excellent educational resource.
如今,肺叶下解剖性切除术作为早期肺癌的一种有效替代方案正日益受到关注。尽管解剖性肺段切除术技术要求较高,但可通过单孔电视辅助胸腔镜手术(VATS)进行,以将微创的优势与最大程度保留肺组织相结合。如果必须对不同肺叶的多个肺段进行联合切除,该手术会更加复杂。在此,我们报告了由同一位经验丰富的外科医生在大型机构完成的5例联合及非常规肺段切除术病例,以表明单孔VATS对于这些复杂切除术是一种可行的方法,并分享一份优秀的教学资源。