摘要
随着低剂量CT筛查的推广,早期肺癌手术的需求量明显增加。经过严格筛查,部分患者可以进行日间肺癌手术。与电视胸腔镜手术和开放手术相比,机器人辅助胸科手术的创伤更小,可能更有利于患者的快速康复。同时,机器人辅助日间肺癌手术也对麻醉全流程提出了更高的要求。本综述以加速康复外科的原则和方法为基础,根据日间手术和机器人辅助肺癌手术的特点,从术前麻醉评估、术中麻醉管理、术后随访及出院标准等方面对机器人辅助日间肺癌手术的麻醉要点进行探讨。
With the popularization of low-dose CT screening,lung cancer could be diagnosed at the early stage and surgery for lung cancer increased significantly.After strict screening,day surgery could be performed on part of patients with lung cancer.Compared with video-assisted thoracic surgery and open surgery,robot-assisted thoracic surgery is less invasive and may accelerate the recovery after surgery.Robot-assisted day surgery for lung cancer has higher requirements on the whole anesthetic process.Based on the principles and methods of enhanced recovery after surgery,the characteristics of day surgery and robot-assisted surgery for lung cancer,the main concerns of anesthesia in robot-assisted day surgery for lung cancer,including preoperative anesthesia evaluation,intraoperative anesthesia management,postoperative follow-up,and discharge standards were discussed in this article.
作者
王喜梅
翁莹琪
WANG Ximei;WENG Yingqi(Department of Anesthesiology,Xiangya Hospital,Central South University,Changsha 410008,China)
基金
湖南省自然科学基金(2019JJ50933)。
关键词
麻醉
机器人辅助手术
日间手术
肺癌
Anesthesia
Robot-assisted surgery
Day surgery
Lung cancer
