非小细胞肺癌手术入路及切除方式研究进展

Advances in Surgical Approach and Resection of Non-small Cell Lung Cancer

随着疾病谱的改变,肺癌的发病率和死亡率在全球范围内一直居高不下,自从外科干预被应用于肺癌的治疗,其地位日益提高,目前以外科手术为主的综合治疗已成为肺癌治疗的首选方案,外科手术入路和术式种类繁多,并且新的技术不断出现,本文拟总结不同手术方式和手术入路的研究进展。随着手术软硬件技术的发展和微创理念深入人心,胸腔镜微创手术较传统开胸手术为肺癌患者带来了更多的福音,手术方式的改变也可更大限度保留肺组织,提高患者的生存质量,相信随着各类手术适应证和手术方式的进一步规范,微创胸腔镜手术会给肺癌患者带来更多的益处。

With the change of the spectrum of disease, the incidence and mortality of non-small cell lung cancer （NSCLC） has been high in global scale, since surgical intervention was applied to treat lung cancer, its status is increasing day by day, at present comprehensive treatment leaded by surgery has become the preferred scheme for NSCLC, there are many different kinds of surgical approaches and operation methods of disease, and the new technologies appear constantly, the paper aim to summarize the research progress of different operationmethods and surgical approach. With the development of soft- ware and hardware technology and the concept of minimally invasive thoracoscopic surgery was received by more people, mini- mally invasive thoracoscopic surgery has brought more benifit than traditional thoracotomy for lung cancer patients, minimally invasive thoracoscopic surgery reserve more lung tissue and improve the survival quality of patients due to better pulmonary function~ we believe that minimally invasive thoracoscopic surgery can bring more benefits to people with surgical indications and surgical procedure further standardization.