电视胸腔镜手术在肺结节诊治中的研究进展

Research progress of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary nodules

现代医疗条件下肺结节的检出率逐年升高,而手术中识别和治疗小型肺部病损仍然具有挑战性,其难点在于如何更好地将手术和肿瘤学原理与更微创、更适当的肺保留手术相融合。为了满足肺结节发生率增加的需求及其外科治疗模式的转变,电视辅助胸腔镜手术(VATS)领域已有许多相应的发展和创新。近年来,单孔VATS和非插管麻醉VATS的兴起明显降低了VATS的侵入性,裸眼3D显示系统、图像引导下的VATS、杂交手术室和荧光胸腔镜检查技术的出现更有助于提高VATS的精准度,成为诊疗肺结节的重要辅助手段。文章探讨了近期VATS技术的发展重点及其在肺结节手术管理中的作用。

The detection rate of pulmonary nodules in modern medical conditions is increasing year by year,and the diagnosis and treatment of pulmonary nodules is another challenge for thoracic surgeons.It is still challenging to identify and treat small lung lesions in surgery,and the difficulty is how to integrate surgical and oncology principles with lung preservation surgery which should be more minimally-invasive and appropriate.In order to meet the increasing demand for pulmonary nodules and the transformation of surgical treatment modes,there have been many developments and innovations in the field of video-assisted thoracoscopic surgery（VATS）.In recent years,the emergence of single-hole VATS and non-intubated VATS has significantly reduced the invasive injury of VATS.The emergence of glass-free 3D display system,image-guided VATS,hybrid operating theatre and fluorescence thoracoscopy have all contributed to improving the precision of VATS,and are becoming important auxiliary means to diagnose and treat pulmonary nodules.This article will discuss some key points of the recent developments of VATS technology and their important roles in the management of pulmonary nodules.