Freund H R, Zamir O, Haskel Y, Vromen A, Spira R M, Beglaibter N, Udassin R
Department of Surgery, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.
Surg Laparosc Endosc. 1999 Jan;9(1):39-41.
Following the great success and wide acceptance of laparoscopic surgery, the mini-invasive approach has been adopted for use in thoracic surgery. Thoracoscopic surgery is gaining acceptability as the procedure of choice for the treatment of recurrent pneumothorax and bullous lung disease, peripheral benign and malignant lesions, diffuse pulmonary infiltrates, mediastinal and pleural lesions, esophageal surgery, and major pulmonary resections for primary lung tumors. We present the 4-year experience of a general surgery service that extended the use of its advanced laparoscopic skills to the performance of thoracoscopic surgery in 80 patients. Using thoracoscopy, we performed biopsy or excision of pulmonary lesions (23 patients), spontaneous pneumothorax (14 patients), thoracic sympathectomy (41 patients), and Heller's esophagomyotomy and pericardiotomy (1 patient each). The results are excellent, and we believe the procedures presented in this series, and similar ones, can be accomplished safely and successfully by well-trained laparoscopic surgeons.
随着腹腔镜手术取得巨大成功并被广泛接受，微创方法已被应用于胸外科手术。胸腔镜手术作为治疗复发性气胸、肺大疱疾病、周围性良性和恶性病变、弥漫性肺浸润、纵隔和胸膜病变、食管手术以及原发性肺肿瘤的主要肺切除术的首选手术，正逐渐被接受。我们介绍了一个普通外科科室的4年经验，该科室将其先进的腹腔镜技术应用于80例患者的胸腔镜手术。通过胸腔镜，我们进行了肺病变的活检或切除（23例患者）、自发性气胸（14例患者）、胸交感神经切除术（41例患者）以及食管肌层切开术和心包切开术（各1例患者）。结果非常好，我们相信本系列中介绍的手术以及类似手术，训练有素的腹腔镜外科医生能够安全、成功地完成。
