Chiu Chien-Hung, Chao Yin-Kai, Liu Yun-Hen
Division of Thoracic Surgery, Chang Gung Memorial Hospital-Linko, Chang Gung University, Taoyuan.
J Thorac Dis. 2018 Jun;10(Suppl 14):S1662-S1665. doi: 10.21037/jtd.2018.04.01.
The transthoracic video-assisted thoracoscopic surgery (VATS) is considered as standard operation for various thoracic diseases. With the development of single-incision VATS, the thoracic surgery becomes less traumatic. However, chronic chest wound pain still an issue despite the less invasive approach. Therefore, subxiphoid VATS was proposed to overcome this problem. In this article, we review current applications, pros and cons, and potential developments of VATS through subxiphoid approach.
经胸电视辅助胸腔镜手术(VATS)被认为是治疗各种胸科疾病的标准手术。随着单切口VATS的发展,胸外科手术的创伤性变小。然而,尽管手术入路的创伤较小,但慢性胸部伤口疼痛仍然是一个问题。因此,提出了剑突下VATS来克服这个问题。在本文中,我们回顾了剑突下入路VATS的当前应用、优缺点及潜在发展。