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[关于肺癌微创手术生物学意义的思考]

[Reflection on the Biological Significance of Minimally Invasive Surgery for Lung Cancer].

作者信息

Luo Qingquan, Huang Jia

机构信息

Shanghai Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China.

出版信息

Zhongguo Fei Ai Za Zhi. 2018 Mar 20;21(3):173-175. doi: 10.3779/j.issn.1009-3419.2018.03.09.

DOI:10.3779/j.issn.1009-3419.2018.03.09
PMID:29587934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5973023/
Abstract

Minimal invasive surgery with short operation time and enhanced recovery after surgery can truly achieve biological minimal invasiveness. The minimal invasive lung cancer surgery includes several kinds, such as uni-portal video-assisted thoracoscopic surgery (VATS) and multi-portal VATS. Robotic-assisted thoracic surgery (RATS) can be categorized into multi-portal VATS. As a frontier technology of minimal invasive surgical technique, surgical robotic system has been broadly applied in many areas. The average RATS operation time is (91.51±30.80) min among our team, which is much shorter than reported uni-portal VATS operation time. For now, RATS has some drawbacks and is lacking of national practice guidelines, which, we believe, will be solved by technology development and large-scale randomized controlled trials. 
.

摘要

手术时间短且术后恢复快的微创手术能够真正实现生物微创。微创肺癌手术包括多种类型,如单孔电视辅助胸腔镜手术(VATS)和多孔VATS。机器人辅助胸外科手术(RATS)可归类为多孔VATS。作为微创外科技术的前沿技术,手术机器人系统已在许多领域广泛应用。我们团队的RATS平均手术时间为(91.51±30.80)分钟,比报道的单孔VATS手术时间短得多。目前,RATS存在一些缺点且缺乏国家实践指南,我们相信,这些问题将通过技术发展和大规模随机对照试验得到解决。

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[Reflection on the Biological Significance of Minimally Invasive Surgery for Lung Cancer].[关于肺癌微创手术生物学意义的思考]
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2
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本文引用的文献

1
Robotic thoracic surgery results in shorter hospital stay and lower postoperative pain compared to open thoracotomy: a matched pairs analysis.机器人辅助胸腔镜手术与开胸手术相比,可缩短住院时间,减轻术后疼痛:一项配对分析。
Surg Endosc. 2017 Oct;31(10):4126-4130. doi: 10.1007/s00464-017-5464-6. Epub 2017 Mar 8.
2
Long-term Survival Based on the Surgical Approach to Lobectomy For Clinical Stage I Nonsmall Cell Lung Cancer: Comparison of Robotic, Video-assisted Thoracic Surgery, and Thoracotomy Lobectomy.基于临床I期非小细胞肺癌肺叶切除术手术方式的长期生存情况:机器人手术、电视辅助胸腔镜手术和开胸肺叶切除术的比较
Ann Surg. 2017 Feb;265(2):431-437. doi: 10.1097/SLA.0000000000001708.
3
Robot-assisted surgery for lung cancer: State of the art and perspectives.肺癌的机器人辅助手术:现状与展望。
Lung Cancer. 2016 Nov;101:28-34. doi: 10.1016/j.lungcan.2016.09.004. Epub 2016 Sep 7.
4
Four-arm robotic lobectomy for the treatment of early-stage lung cancer.四臂机器人肺叶切除术治疗早期肺癌。
J Thorac Cardiovasc Surg. 2010 Jul;140(1):19-25. doi: 10.1016/j.jtcvs.2009.10.025. Epub 2009 Dec 28.
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Robot-assisted lobectomy for early-stage lung cancer: report of 100 consecutive cases.机器人辅助肺叶切除术治疗早期肺癌:100例连续病例报告
Ann Thorac Surg. 2009 Aug;88(2):380-4. doi: 10.1016/j.athoracsur.2009.04.039.
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Early experience with robotic technology for thoracoscopic surgery.胸腔镜手术机器人技术的早期经验。
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