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电视辅助胸腔镜手术肺段切除术

Video-Assisted Thoracic Surgery Segmentectomy.

作者信息

Kim Ha Eun, Yang Young Ho, Lee Chang Young

机构信息

Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.

出版信息

J Chest Surg. 2021 Aug 5;54(4):246-252. doi: 10.5090/jcs.21.058.

DOI:10.5090/jcs.21.058
PMID:34353963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8350470/
Abstract

Although lobectomy remains the gold-standard surgical treatment for non-small-cell lung cancer, the frequency of thoracoscopic segmentectomy is increasing. Multiple factors must be considered in the choice of the procedure, ranging from adequate surgical planning or simulation, tumor localization, and identification of the intersegmental plane to severing the intersegmental plane to achieve an oncologically safe surgical margin with no or minimal manual palpation and different landmarks. In this article, we present an overview of methods for each procedural step of thoracoscopic segmentectomy, from preoperative planning to division of the intersegmental plane.

摘要

尽管肺叶切除术仍是非小细胞肺癌的金标准外科治疗方法,但电视胸腔镜下肺段切除术的应用频率正在增加。在选择手术方式时,必须考虑多个因素,从充分的手术规划或模拟、肿瘤定位、节段间平面的识别到切断节段间平面,以在无需或极少手动触诊以及不同标志的情况下实现肿瘤学安全的手术切缘。在本文中,我们概述了电视胸腔镜下肺段切除术从术前规划到节段间平面分割的每个手术步骤的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/f0e69062d755/jcs-54-4-246-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/3defac99ea49/jcs-54-4-246-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/986955320a69/jcs-54-4-246-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/a1375d8d6bb0/jcs-54-4-246-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/6b9a60a92947/jcs-54-4-246-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/f0e69062d755/jcs-54-4-246-f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/3defac99ea49/jcs-54-4-246-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/986955320a69/jcs-54-4-246-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/a1375d8d6bb0/jcs-54-4-246-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/6b9a60a92947/jcs-54-4-246-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70f/8350470/f0e69062d755/jcs-54-4-246-f5.jpg

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本文引用的文献

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Analysis of the variation pattern in left upper division veins and establishment of simplified vein models for anatomical segmentectomy.左肝上叶静脉变异模式分析及解剖性肝段切除术简化静脉模型的建立
Ann Transl Med. 2020 Nov;8(22):1515. doi: 10.21037/atm-20-6925.
2
Methods for Dissecting Intersegmental Planes in Segmentectomy: A Randomized Controlled Trial.解剖段间平面的方法在节段切除术中的应用:一项随机对照试验。
Ann Thorac Surg. 2020 Jul;110(1):258-264. doi: 10.1016/j.athoracsur.2020.02.013. Epub 2020 Mar 12.
3
Concepts and techniques: how to determine and identify the appropriate target segment in anatomical pulmonary segmentectomy?
概念与技术:如何在解剖性肺段切除术中确定并识别合适的目标肺段?
J Thorac Dis. 2019 Mar;11(3):972-986. doi: 10.21037/jtd.2019.02.83.
4
3D-CT anatomy for VATS segmentectomy.用于电视辅助胸腔镜手术节段切除术的三维计算机断层扫描解剖学
J Vis Surg. 2017 Jul 1;3:88. doi: 10.21037/jovs.2017.05.10. eCollection 2017.
5
Prolonged intravenous indocyanine green visualization by temporary pulmonary vein clamping: real-time intraoperative fluorescence image guide for thoracoscopic anatomical segmentectomy.临时肺静脉夹闭致吲哚菁绿长时间静脉显影:胸腔镜解剖性肺段切除术实时术中荧光图像引导
Eur J Cardiothorac Surg. 2017 Dec 1;52(6):1225-1226. doi: 10.1093/ejcts/ezx233.
6
Unplanned Procedures During Thoracoscopic Segmentectomies.胸腔镜肺段切除术期间的非计划手术
Ann Thorac Surg. 2017 Nov;104(5):1710-1717. doi: 10.1016/j.athoracsur.2017.05.081. Epub 2017 Sep 29.
7
Sublobar resection versus lobectomy in patients aged ≤35 years with stage IA non-small cell lung cancer: a SEER database analysis.≤35岁的IA期非小细胞肺癌患者行肺叶下切除与肺叶切除的比较:一项监测、流行病学和最终结果(SEER)数据库分析
J Cancer Res Clin Oncol. 2017 Nov;143(11):2375-2382. doi: 10.1007/s00432-017-2499-y. Epub 2017 Aug 17.
8
Analysis of variation in bronchovascular pattern of the right middle and lower lobes of the lung using three-dimensional CT angiography and bronchography.使用三维CT血管造影和支气管造影分析右肺中叶和下叶支气管血管模式的变异
Gen Thorac Cardiovasc Surg. 2017 Jun;65(6):343-349. doi: 10.1007/s11748-017-0754-4. Epub 2017 Feb 14.
9
Techniques of stapler-based navigational thoracoscopic segmentectomy using virtual assisted lung mapping (VAL-MAP).使用虚拟辅助肺图谱(VAL-MAP)的基于吻合器的导航胸腔镜肺段切除术技术。
J Thorac Dis. 2016 Oct;8(Suppl 9):S716-S730. doi: 10.21037/jtd.2016.09.56.
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Safety and reproducibility of virtual-assisted lung mapping: a multicentre study in Japan.虚拟辅助肺绘图的安全性和可重复性:日本的一项多中心研究。
Eur J Cardiothorac Surg. 2017 May 1;51(5):861-868. doi: 10.1093/ejcts/ezw395.