我国胸腺微创外科的机遇与挑战

Minimally invasive thymus surgery in China:opportunities and challenges

胸腺微创手术经过数十年的发展衍生出多种术式,应用于经过选择的病例可获得与开放手术相当的治疗效果。相对于胸部其他疾病,纵隔疾病属于少见病,各术式间缺乏大样本对照研究,手术方式的选择多基于术者经验。本文旨在探讨胸腺微创手术的演变历史特点,总结目前国际、国内广泛应用的几类胸腺微创手术入路,分析我国胸腺微创治疗技术的整合与改进策略。

After decades of development,thymus minimally invasive surgery has derived a variety of surgical methods.In selected cases,it can achieve equivalent therapeutic effect as open surgery.Because mediastinal disease is rare compared with other chest diseases,there is a lack of large-scale comparative study among different surgical methods,and the choice of surgical approaches is mostly based on the experience and habit of the operator.The purpose of this review is to discuss the evolution of minimally invasive thymus surgery,summarize several kinds of minimally invasive thymus surgery approaches that are widely used in and abroad,and analyze the integration and improvement strategies of minimally invasive thymus surgery in China.