微创伤胸外科手术历史、现状和未来
| 作者: |
1何建行
1 广州医学院第一附属医院心胸外科，广州 510120；广州呼吸疾病研究所，广州 510120 |
| 通讯: | |
| DOI: | 10.3978/j.issn.2095-6959.2013.01.001 |
摘要
微创伤技术在胸外科的运用，以胸腔镜的应用为主要代表手段，胸壁入路的创伤明显减少。微创
伤胸外科手术包括了电视胸腔镜手术(video assisted thoracic surgery，VATS)、影像辅助的小切口
手术(hybrid VATS) 以及手辅助的电视胸腔镜手术三种方式。这一技术广泛应用于诊治胸膜及胸壁
疾病、肺疾病、食管疾病和纵膈疾病。如今，随着内镜外科手术器械的不断完善和更新，微创伤
胸外科技术得到了迅速发展。
关键词：
微创伤技术
胸外科手术
胸腔镜
伤胸外科手术包括了电视胸腔镜手术(video assisted thoracic surgery，VATS)、影像辅助的小切口
手术(hybrid VATS) 以及手辅助的电视胸腔镜手术三种方式。这一技术广泛应用于诊治胸膜及胸壁
疾病、肺疾病、食管疾病和纵膈疾病。如今，随着内镜外科手术器械的不断完善和更新，微创伤
胸外科技术得到了迅速发展。
Mini-invasive thoracic surgery: History, current status, and future
DOI: 10.3978/j.issn.2095-6959.2013.01.001
Abstract
Mini-invasive thoracic technique mainly refers to a technique involving the significant reduction of the chest wall
access-related trauma. Notably, thoracoscope is the chief representative. The mini-invasive thoracic surgery consists
of 3 approaches including video-assisted thoracic surgery (VATS), video-assisted hybrid, and hand-assisted VATS.
In addition, the mini-invasive thoracic technique is widely used in 5 aspects including diseases of pleura membrane
and chest wall, lung diseases, esophageal diseases, mediastinal diseases. So far the mini-invasive thoracic technique
has achieved great advances due to the development in instruments of mini-invasive thoracic surgery.
access-related trauma. Notably, thoracoscope is the chief representative. The mini-invasive thoracic surgery consists
of 3 approaches including video-assisted thoracic surgery (VATS), video-assisted hybrid, and hand-assisted VATS.
In addition, the mini-invasive thoracic technique is widely used in 5 aspects including diseases of pleura membrane
and chest wall, lung diseases, esophageal diseases, mediastinal diseases. So far the mini-invasive thoracic technique
has achieved great advances due to the development in instruments of mini-invasive thoracic surgery.