单孔胸腔镜解剖性肺段切除术的临床应用与研究进展

Clinical application and research progress of uniportal video-assisted thoracoscopic anatomic segmentectomy

随着肺癌精准诊疗的发展,解剖性肺段切除术成为治疗早期肺癌的重要术式。在电视胸腔镜手术获得广泛推广后,肺癌治疗已经进入微创时代。自2012年首次报道以来,单孔胸腔镜辅助解剖性肺段切除术已获得越来越多的临床应用。与开胸手术和传统胸腔镜手术相比,单孔胸腔镜手术创伤更小。目前,围绕单孔胸腔镜肺段切除术的主要研究热点包括具体适应证、长短期疗效以及学习曲线等。本文将从这一术式的特点、适应证和手术技术层面进行介绍,并基于最新循证证据总结讨论单孔胸腔镜肺段切除术应用的最新研究进展。

With the development of precision diagnosis and treatment of lung cancer,anatomical segmentectomy has become an important surgical procedure for the treatment of early-stage lung cancer.After the widespread popularization of video-assisted thoracoscopic surgery(VATS),the treatment of lung cancer has entered the era of minimally invasive surgery.Since it was first reported in 2012,uniportal video-assisted anatomical segmentectomy has gained increasing clinical application.Uniportal VATS is less invasive than thoracotomy and traditional VATS.At present,the main research hotspots around uniportal video-assisted anatomical segmentectomy include specific indications,short-term and long-term efficacy,and learning curve.This article will introduce the characteristics,indications and surgical techniques of this procedure,then summarize and discuss the latest research progress of uniportal video-assisted anatomical segmentectomy based on the latest evidence-based evidence.