Department of Thoracic Surgery and Lung Transplant, Coruña University Hospital, A Coruña, Spain.
Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Eur J Cardiothorac Surg. 2020 Aug 1;58(Suppl_1):i23-i33. doi: 10.1093/ejcts/ezaa110.
Uniportal video-assisted thoracoscopic surgery may be the approach for any thoracic procedure, from minor resections to complex reconstructive surgery. However, anatomical lobectomy represents its most common and clinically proven usage. A wide variety of information about uniportal video-assisted thoracoscopic lobectomies can be found in the literature and multimedia sources. This article focuses on updating the surgical technique and includes important aspects such as the geometric approach, anaesthesia considerations, operating room set-up, tips about the incision, instrumentation management and the operative technique to perform the 5 lobectomies. The following issues are explained for each lobectomy: anatomical considerations, surgical steps and technical advice. Medical illustrations and videos are included to clarify the text with the goal of describing a standard surgical practice.
单孔电视辅助胸腔镜手术可以用于任何胸腔手术，从小的肺段切除到复杂的重建手术。然而，解剖性肺叶切除术是其最常见和临床验证的用途。文献和多媒体资源中可以找到关于单孔电视辅助胸腔镜肺叶切除术的各种信息。本文重点介绍手术技术的更新，包括几何入路、麻醉注意事项、手术室设置、切口要点、器械管理以及进行 5 种肺叶切除术的操作技术。对于每一种肺叶切除术，都解释了解剖学考虑、手术步骤和技术建议。本文还包含了医学插图和视频，旨在用文字清晰地描述一种标准的手术实践。
