Downey R J, McCormack P, LoCicero J
Division of Thoracic Surgery, Memorial Sloan-Kettering Cancer Center, New York, 10021, USA.
J Thorac Cardiovasc Surg. 1996 May;111(5):954-60. doi: 10.1016/s0022-5223(96)70370-7.
Video-assisted thoracic surgical techniques are widely used for biopsy and resection of thoracic tumors, but studies of long-term outcomes have not been reported. Dissemination of tumor by these techniques is a potential hazard. Therefore we surveyed the surgical members of the Video-Assisted Thoracic Surgery Study Group to determine whether tumor implants thought to be directly related to video-assisted techniques had occurred. Surgeons reported 21 cases. The sites of recurrence were the incision (n = 14), pulmonary staple line (n = 2), pleura (n = 2), both staple line and incision (n = 1), both pleura and incision (n = 1), and both pleura and staple line (n = 1). Review of these cases illustrates the pitfalls of present video-assisted techniques for malignant tumors of the thorax.
电视辅助胸腔镜手术技术广泛应用于胸部肿瘤的活检和切除，但长期疗效的研究尚未见报道。这些技术导致肿瘤播散是一个潜在风险。因此，我们对电视辅助胸腔镜手术研究组的外科成员进行了调查，以确定是否发生了被认为与电视辅助技术直接相关的肿瘤种植。外科医生报告了21例病例。复发部位为切口（n = 14）、肺吻合钉线（n = 2）、胸膜（n = 2）、吻合钉线和切口均有（n = 1）、胸膜和切口均有（n = 1）、胸膜和吻合钉线均有（n = 1）。对这些病例的回顾说明了当前电视辅助技术在胸部恶性肿瘤治疗中的缺陷。
