Royo-Crespo Iñigo, Vieira Arthur, Ugalde Paula A
Department of Thoracic Surgery, Miguel Servet University Hospital, Lozano Blesa University Clinic Hospital, and IIS Aragón, Zaragoza, Spain.
Division of Thoracic Surgery, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Laval University, Québec, Canada.
J Vis Surg. 2018 Mar 23;4:57. doi: 10.21037/jovs.2018.03.09. eCollection 2018.
Since the first description of uniportal video-assisted thoracic surgery (U-VATS) (or single-port) lobectomy, several centers in Asia and Europe rapidly adopted this technique as a standard approach for treatment of early stage non-small cell lung cancer (NSCLC). Despite the controversies regarding feasibility and completeness of resection, thoracic surgeons in high volume centers keep pushing the limits to perform very complex procedures also known as "extended resections" through minimally invasive surgery. Published series and case reports confirm the viability of U-VATS in highly complex surgical cases such as pneumonectomy, chest wall resection and bronchoplasty, which require experience and technical ability to be performed through a 3-6 cm single incision. In this article, the authors would like to present several clinical indications of locally advanced NSCLC and the technical aspects to accomplish an extended resection through U-VATS.
自从单孔电视辅助胸腔镜手术（U-VATS，或单孔）肺叶切除术首次被描述以来，亚洲和欧洲的多个中心迅速将这项技术作为早期非小细胞肺癌（NSCLC）的标准治疗方法采用。尽管在切除的可行性和完整性方面存在争议，但高手术量中心的胸外科医生仍不断突破极限，通过微创手术进行非常复杂的手术，即所谓的“扩大切除术”。已发表的系列研究和病例报告证实了U-VATS在诸如肺切除术、胸壁切除术和支气管成形术等高复杂手术病例中的可行性，这些手术需要经验和技术能力才能通过3至6厘米的单一切口完成。在本文中，作者将介绍局部晚期NSCLC的几种临床适应证以及通过U-VATS完成扩大切除术的技术要点。
