Pan Jennifer M, Watkins Ammara A, Stock Cameron T, Moffatt-Bruce Susan D, Servais Elliot L
Division of General Surgery, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Division of Cardiothoracic Surgery, Lahey Hospital and Medical Center, Burlington, MA 01805, USA.
Cancers (Basel). 2024 Sep 5;16(17):3086. doi: 10.3390/cancers16173086.
Minimally invasive thoracic surgery has advanced the treatment of lung cancer since its introduction in the 1990s. Video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracic surgery (RATS) offer the advantage of smaller incisions without compromising patient outcomes. These techniques have been shown to be safe and effective in standard pulmonary resections (lobectomy and sub-lobar resection) and in complex pulmonary resections (sleeve resection and pneumonectomy). Furthermore, several studies show these techniques enhance patient outcomes from early recovery to improved quality of life (QoL) and excellent oncologic results. The rise of RATS has yielded further operative benefits compared to thoracoscopic surgery. The wristed instruments, neutralization of tremor, dexterity, and magnification allow for more precise and delicate dissection of tissues and vessels. This review summarizes of the advancements in minimally invasive thoracic surgery and the positive impact on patient outcomes.
自20世纪90年代引入以来，微创胸外科手术推动了肺癌治疗的发展。电视辅助胸腔镜手术（VATS）和机器人辅助胸腔镜手术（RATS）具有切口较小的优势，同时不影响患者的治疗效果。这些技术已被证明在标准肺切除术（肺叶切除术和肺段切除术）以及复杂肺切除术（袖状切除术和全肺切除术）中是安全有效的。此外，多项研究表明，这些技术可改善患者的治疗效果，从早期康复到提高生活质量（QoL），并取得出色的肿瘤学结果。与胸腔镜手术相比，RATS的兴起带来了更多的手术益处。其腕部器械、震颤消除、灵活性和放大功能使组织和血管的解剖更加精确和精细。本综述总结了微创胸外科手术的进展及其对患者治疗效果的积极影响。
