单孔电视辅助胸腔镜手术治疗术中并发症
Uniportal video-assisted thoracic surgery treatment of intra-operative complications.
作者信息
Tentzeris Vasilios, Papagiannopoulos Kostas
机构信息
Department of Thoracic Surgery, St James's University Hospital, Leeds, UK.
出版信息
J Vis Surg. 2018 Apr 23;4:74. doi: 10.21037/jovs.2018.04.10. eCollection 2018.
BACKGROUND
The uniportal video-assisted thoracic surgery (U-VATS) approach is rapidly gaining attention. Still there is lack of gross engagement to this technique, even within the VATS surgeons. We believe that the uniportal approach needs the same attention as any newly introduced skill; it would be a great mistake to be considered as a simple variation of the standardised multi-portal VATS.
METHODS
We have evaluated personal and institutional experience, supported by international bibliography. Factors that could influence complications have been searched. Factors have been split to operator-related and patient-related.
RESULTS
We have identified a series of preventable complications. The operator-related ones, need addressing prior to engagement to surgery. A well-structured team led by the surgeon functions in benefit of the patient. A wise and skilled surgeon in synergy with the surgical team can be prepared to resolve the most common presented challenges.
CONCLUSIONS
Our collected experience may be a guide to facilitate the U-VATS journey.
背景
单孔电视辅助胸腔镜手术（U-VATS）方法正迅速受到关注。即便在胸腔镜手术外科医生群体中，对该技术的整体参与度仍较低。我们认为，单孔手术方法需要像任何新引入的技术一样受到重视；将其视为标准化多孔胸腔镜手术的简单变体将是一个巨大的错误。
方法
我们评估了个人和机构经验，并参考了国际文献。研究了可能影响并发症的因素。这些因素分为与操作者相关的和与患者相关的。
结果
我们识别出了一系列可预防的并发症。与操作者相关的并发症，在开展手术前需要加以解决。由外科医生领导的结构完善的团队对患者有益。一位明智且技术娴熟的外科医生与手术团队协同合作，能够准备好应对最常见的挑战。
结论
我们收集的经验可能有助于指导单孔电视辅助胸腔镜手术的开展。
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