Abstract:
Twenty years have passed since uniportal video-assisted thoracoscopic surgery (VATS) was first reported. Several reports have already proven the minimal invasiveness of uniportal VATS. In addition, two large clinical trials recently demonstrated the benefits of segmentectomy for small peripheral early-stage non-small cell lung cancer. Uniportal VATS segmentectomy is considered the most beneficial minimally invasive surgery for patients with early-stage lung cancer. However, a high level of skill and experience are required to achieve this goal. Only a few reports have discussed specific techniques, particularly for complex segmentectomies. In this Special Issue, we reviewed previous reports on uniportal VATS segmentectomy regarding the indications, instrument selection, marking of the tumor location, methods of intersegmental plane identification, and lymph node dissection, including our own techniques with video content.
摘要:
自从首次报道单孔电视辅助胸腔镜手术(VATS)以来,已经过去了20年。一些报告已经证明了单入口VATS的最小侵入性。此外,最近的两项大型临床试验证明了肺段切除术对周围型早期非小细胞肺癌的益处.单通道VATS节段切除术被认为是早期肺癌患者最有益的微创手术。然而,要实现这一目标,需要高水平的技能和经验。只有少数报告讨论了具体的技术,特别是对于复杂的分段切除术。在这个特刊中,我们回顾了以前关于单通道VATS节段切除术的报道,仪器选择,肿瘤位置的标记,段间平面识别方法,淋巴结清扫术,包括我们自己的视频内容技术。