Kim Ha Eun, Yang Young Ho, Lee Chang Young
Department of Thoracic and Cardiovascular Surgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
J Chest Surg. 2021 Aug 5;54(4):246-252. doi: 10.5090/jcs.21.058.
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.
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。