文章：

胸外科手术中的生命保全：平衡肿瘤根治性与功能保留，从标准肺切除术向靶向亚肺叶切除术的转变

Saving Lives in Thoracic Surgery: Balancing Oncological Radicality and Functional Preservation, Transitioning from Standard Pneumonectomy to Targeted Sublobar Resection

原文发布日期：18 February 2024

DOI: 10.3390/cancers16040819

类型: Article

开放获取: 是

英文摘要：

This review chronicles the evolution of thoracic surgical interventions, from the standardized pneumonectomy to the precise approach of sublobar resections. It discusses the emergence and acceptance of minimally invasive and robot-assisted surgical techniques, highlighting their impact on improving outcomes beyond cancer and their influence on the surgical management of early-stage lung cancer. Evaluating historical developments alongside present methodologies, this review underscores the critical need for meticulous surgical planning and execution to optimize both oncological radicality and functional preservation. This evolution portrayed not only technical advancements but also a shift in the clinical approach towards tailored, organ-preserving methodologies, culminating in a contemporary framework promoting sublobar resections as the standard for specific patient profiles, signifying a new era of precision in thoracic surgery.

摘要翻译： 

本综述系统回顾了胸外科手术从标准化肺切除术到精准亚肺叶切除术的发展历程。文章探讨了微创手术与机器人辅助手术技术的兴起与临床应用，重点分析其在改善非肿瘤性疾病预后及早期肺癌外科治疗策略方面的影响。通过历史沿革与当代技术的对比评估，本文强调精细化的手术规划与实施对于实现肿瘤根治与功能保护双重目标的重要性。这一演变历程不仅体现了技术层面的进步，更反映了临床诊疗模式向个体化、器官保留型治疗策略的转变。当前胸外科已形成以亚肺叶切除术作为特定患者群体标准治疗方案的现代体系，标志着胸外科精准治疗新时代的到来。

原文链接：

Saving Lives in Thoracic Surgery: Balancing Oncological Radicality and Functional Preservation, Transitioning from Standard Pneumonectomy to Targeted Sublobar Resection