Tochii Sachiko, Suda Takashi
Department of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake, Japan.
Kyobu Geka. 2020 Apr;73(4):292-297.
In recent years, uniportal video-assisted thoracoscopic surgery, which performs all surgical procedures from 1 wound, has been spreading for the purpose of performing less invasive surgery. The uniportal surgery requires a device because it interferes with instruments, but is a surgical technique that is cosmetically excellent and can be expected to reduce postoperative pain. This new minimally invasive surgical technique is now widely spread, especially in Asia and Europe. In addition, uniportal surgery using the subxiphoid approach has attracted attention. This method has an advantage that intercostal neuropathy does not occur because it does not pass through the intercostal space, and is a useful method for patients. These uniportal surgery is expected to be further developed as a new minimally invasive surgery. In the future, it is necessary to develop more operable devices and instruments, including robot systems, and to prove the usefulness of uniportal surgery.
近年来，单孔电视辅助胸腔镜手术通过一个创口完成所有手术操作，因其能实现微创手术而得以推广。单孔手术需要一种设备，因为它会干扰器械，但这是一种在美观方面表现出色且有望减轻术后疼痛的手术技术。这种新型微创手术技术目前已广泛传播，尤其是在亚洲和欧洲。此外，经剑突下入路的单孔手术也引起了关注。该方法的一个优点是不会穿过肋间间隙，因而不会发生肋间神经病变，对患者来说是一种有用的方法。这些单孔手术有望作为一种新型微创手术得到进一步发展。未来，有必要开发包括机器人系统在内的更具操作性的设备和器械，并证明单孔手术的有效性。
