单孔胸腔镜:微创肺癌切除的再次升华

Uniportal VATS: A Sublimation of Micro-invasive Lung Cancer Resection

以电视胸腔镜手术(video-assisted thoracic surgery,VATS)为代表的微创手术已成为肺癌切除的主流。传统多孔VATS(包括四孔、三孔及两孔)已覆盖了几乎所有肺癌切除方式。然而,如何使肺癌的切除更加微创始终是胸外科医师的不懈追求。单孔VATS只需一个切口完成手术,与传统多孔VATS相比,能最大程度地减轻胸壁损伤,在减轻术后切口疼痛和胸壁感觉异常方面有明显的优势。近年来,单孔VATS已开始应用于肺癌的切除,并取得不错的临床效果。本文就单孔VATS肺癌切除的进展进行简要小结,单孔VATS是微创肺癌切除的再次升华。

Micro-invasive thoracic surgery, especially represented by video-assisted thoracic surgery （VATS）, has be-come the mainstream of lung cancer resection. Traditional multi-portal VATS techniques, including four-port, three-port, and two-port VATS, have been widely used to perform nearly all kinds of lung cancer resections. However, how to make lung cancer resection less invasive is always the subject that all thoracic surgeons never stop pursuing. Compared with multi-portal VATS, uniportal VATS causes less postoperative pain and paresthesia because only one small incision is made and one intercoastal space is involved. In recent years, good clinical results have been obtained from uniportal VATS in lung cancer resections. In this paper, we’d like to present a brief summary about the progresses made in the application of uniportal VATS in lung cancer resection. Uniportal VATS is a sublimation of micro-invasive lung cancer resection.