Chen Ying-Yuan, Lin Tzu-Hung, Chang Chao-Chun, Huang Wei-Li, Yen Yi-Ting, Tseng Yau-Lin
Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Vis Surg. 2017 Oct 28;3:149. doi: 10.21037/jovs.2017.08.16. eCollection 2017.
Uniportal video-assisted thoracoscopic surgery (VATS) makes a breakthrough in these years. Even we have gained more experience and surgical skills of uniportal VATS, some elements, such as calcified perivascular lymph nodes, make the surgery challenging. In this series, we used staged bronchial closure (cut the bronchus first and then close it with stapler after dividing the pulmonary artery with calcified lymph node) as an approach for dealing with this challenging issue. Though the rate of intraoperative vessel injury is relatively high, we obtained ideal surgical outcome by using this technique in different lobes and segment of the lung.
单孔电视辅助胸腔镜手术（VATS）近年来取得了突破。尽管我们在单孔VATS方面积累了更多经验和手术技巧，但一些因素，如钙化的血管周围淋巴结，使手术具有挑战性。在本系列研究中，我们采用分期支气管闭合术（先切断支气管，然后在将肺动脉与钙化淋巴结分离后用吻合器闭合）来处理这一具有挑战性的问题。尽管术中血管损伤率相对较高，但我们通过在肺的不同叶和段使用该技术获得了理想的手术效果。
