Wang Linlin, Ge Lihui, Song Shiyuan, Ren Yi
Department of Thoracic Surgery, Shenyang Chest Hospital & Tenth People's Hospital, No. 11, Beihai Street, Dadong District, Shenyang, 110044, Liaoning, People's Republic of China.
Department of Health Management, Shengjing Hospital of China Medical University, No. 36, Sanhao Street, HePing District, Shenyang, 110004, Liaoning, People's Republic of China.
J Cancer Res Clin Oncol. 2023 Sep;149(12):10235-10239. doi: 10.1007/s00432-023-04920-x. Epub 2023 Jun 3.
In recent years, the field of minimally invasive thoracic surgery has experienced significant advancements driven by improvements in video-assisted thoracoscopic surgery (VATS) techniques and surgical instruments. These advances have given rise to uniportal VATS as a new area of exploration in minimally invasive thoracic surgery. This technique presents several potential advantages, including reduced access trauma, less postoperative pain, improved cosmesis, fewer complications, shorter hospital stays, and faster rehabilitation, ultimately leading to an improvement in patient quality of life.
This article reviews the evolutionary history of minimally invasive thoracic surgery, highlights novel techniques, explores possible applications and obtained results, and discusses future prospects of uniportal VATS.
Experienced thoracic surgeons have demonstrated the capacity to perform uniportal VATS with a high level of safety and efficacy. Further studies are necessary to assess its long-term efficacy, address limitations, and enhance clinical decision-making for optimal treatment of thoracic conditions.
近年来，在电视辅助胸腔镜手术（VATS）技术和手术器械改进的推动下，微创胸外科领域取得了显著进展。这些进展催生了单孔VATS，成为微创胸外科的一个新探索领域。该技术具有几个潜在优势，包括减少切口创伤、减轻术后疼痛、改善美观、减少并发症、缩短住院时间和加快康复，最终提高患者生活质量。
本文回顾了微创胸外科的发展历程，重点介绍了新技术，探讨了可能的应用及取得的成果，并讨论了单孔VATS的未来前景。
经验丰富的胸外科医生已证明能够安全、有效地进行单孔VATS。有必要进一步开展研究，以评估其长期疗效，解决局限性问题，并加强临床决策，从而实现对胸部疾病的最佳治疗。
