Rieger R, Wayand W
II. Chirurgische Abteilung und Ludwig-Boltzmann-Institut für laparoskopische Chirugie, Allgemein öffentliches Krankenhaus der Stadt Linz.
Zentralbl Chir. 1997;122(12):1065-71.
Video-assisted thoracoscopy has become an important adjunct to traditional thoracic surgical techniques for the diagnosis and therapy of numerous intrathoracic diseases. It has developed to the procedure of choice for patients with spontaneous pneumothorax, indeterminate peripheral lung nodule, diffuse lung disease, pleural disease and effusion and is a valuable alternative to traditional thoracotomy for various indications like the resection of benign intrathoracic tumors and cysts. Although video-assisted thoracoscopy is not recommended for curative therapy of malignancies, it can be useful for the diagnosis, staging and palliation of malignant disease. Video-assisted thoracoscopy should be performed only by surgeons with sufficient experience in thoracic surgery in institutions where adequate prerequisites are available. The clinical impact of video-assisted thoracoscopy is documented by the fact that in centers approximately 20 to 30% of all thoracic surgical procedures currently are performed with this new technique.
电视辅助胸腔镜检查已成为传统胸外科技术的重要辅助手段，用于诊断和治疗多种胸内疾病。它已发展成为自发性气胸、外周肺结节性质不明、弥漫性肺疾病、胸膜疾病及胸腔积液患者的首选治疗方法，对于诸如切除胸内良性肿瘤和囊肿等各种适应症，它是传统开胸手术的一种有价值的替代方法。尽管电视辅助胸腔镜检查不推荐用于恶性肿瘤的根治性治疗，但它对恶性疾病的诊断、分期和缓解症状可能有用。电视辅助胸腔镜检查仅应由在具备充分先决条件的机构中拥有足够胸外科手术经验的外科医生进行。电视辅助胸腔镜检查的临床影响体现在这样一个事实，即在一些中心，目前约20%至30%的所有胸外科手术是采用这种新技术进行的。
