单孔电视胸腔镜手术临床应用的现状与进展

Advancement and Progress of Single-port Video-assisted Thoracoscopic Surgery in the Treatment of Thoracic Diseases

目前电视胸腔镜手术(video-assisted thoracoscopic surgery,VATS)发展呈现两大趋势:一是胸腔镜手术应用范围扩大化;二是单孔技术的使用使胸腔镜手术更"微创化"和美容化。我们从以下几方面介绍单孔胸腔镜手术:(1)单孔电视胸腔镜手术(single-port video-assisted thoracoscopic surgery,single-port VATS)切口"个体化"设计及其特点;(2)单孔VATS技术治疗气胸相关技术及器械的改进;(3)单孔VATS技术应用于胸部相关疾病(如肺叶切除术)的诊断与治疗;(4)单孔VATS临床应用中的优点与不足。

Currently,there are two significant tendencies in the advancement and progress of video-assisted thoracoscopic surgery（VATS）,firstly,the widening surgical indications for VATS techniques,and secondly,the use of single-port VATS which is less invasive and more cosmetic.This article focuses in particular on four aspects of single-port VATS,including;（1）the individualized incision approach and its characteristics of single-port VATS;（2）single-port VATS for the treatment of pneumothorax and the development of related techniques and equipment;（3）single-port VATS for the diagnosis and treatment of thoracic diseases such as lung lobectomy;（4）the advantages and disadvantages of single-port VATS in clinical practice.