Hirai Kyoji, Usuda Jitsuo
Department of Thoracic Surgery, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan.
Kyobu Geka. 2020 Apr;73(4):286-291.
Uniportal video-assisted thoracic surgery (U-VATS) has become prevalent among thoracic surgeon in a part of countries including Japan. U-VATS and robotic-assisted thoracoscopic surgery( RATS) are 2 types of minimally invasive surgical techniques. Uniportal procedures are feasible although they can be technically challenging. RATS is superior to U-VATS in terms of the ability to perform procedures that require fine motor skills and to maintain wide visual fields during the procedure;however, it is not as feasible and more costly compared with U-VATS. U-VATS is also considered safer as it is easier than RATS to be converted to thoracotomy when needed. Thus, suitable procedures should be selected to meet the needs of specific cases. In the present study, we review the treatment outcomes of U-VATS for anatomical lung resection that were performed at our institution for patients with early-stage lung cancer.
单孔电视辅助胸腔镜手术（U-VATS）在包括日本在内的部分国家的胸外科医生中已变得普遍。U-VATS和机器人辅助胸腔镜手术（RATS）是两种微创手术技术。单孔手术是可行的，尽管在技术上可能具有挑战性。RATS在执行需要精细运动技能的手术以及在手术过程中保持广阔视野的能力方面优于U-VATS；然而，与U-VATS相比，它不太可行且成本更高。U-VATS也被认为更安全，因为在需要时它比RATS更容易转换为开胸手术。因此，应选择合适的手术方式以满足特定病例的需求。在本研究中，我们回顾了我们机构为早期肺癌患者进行的U-VATS解剖性肺切除术的治疗结果。
