McKenna R J
Department of Surgery, University of Southern California School of Medicine, Los Angeles 90017.
Semin Surg Oncol. 1994 Nov-Dec;10(6):411-6. doi: 10.1002/ssu.2980100608.
The development of endoscopic video capabilities has opened a new era in thoracic operations. This paper discusses video-assisted thoracic surgery (VATS) as part of the armamentarium of the thoracic surgeon. VATS is the procedure of choice for a solitary pulmonary nodule. It is also a useful staging procedure in selected patients with pulmonary and esophageal tumors. The role of VATS in the definitive resection of certain lung cancers is discussed and there is a call for randomized controlled studies to determine if there is an advantage for the utilization of VATS. The use of VATS for resection of esophageal tumors is discussed. It is currently under development and investigation.
内镜视频技术的发展开启了胸外科手术的新纪元。本文将视频辅助胸腔镜手术（VATS）作为胸外科医生的手术器械之一进行讨论。VATS是孤立性肺结节的首选手术方法。对于部分患有肺部和食管肿瘤的患者，它也是一种有用的分期手术。文中讨论了VATS在某些肺癌根治性切除中的作用，并呼吁开展随机对照研究以确定使用VATS是否具有优势。文中还讨论了使用VATS切除食管肿瘤的情况。目前该技术仍在发展和研究中。
