文章：

单孔胸腔镜肺段切除术治疗早期非小细胞肺癌：概述、适应证与技术要点

Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques

原文发布日期：26 June 2024

DOI: 10.3390/cancers16132343

类型: Article

开放获取: 是

英文摘要：

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.

摘要翻译： 

自单孔胸腔镜手术首次报道以来，已过去二十年。多项研究已证实单孔胸腔镜手术的微创优势。此外，近期两项大型临床试验表明，针对早期周围型非小细胞肺癌，肺段切除术具有显著临床获益。单孔胸腔镜肺段切除术因此被视为早期肺癌患者最具优势的微创术式。然而，实现这一目标需要高超的技术与丰富的经验。目前仅有少数文献探讨具体操作技术，尤其针对复杂肺段切除术。本期特刊系统回顾了单孔胸腔镜肺段切除术在适应证选择、器械配置、肿瘤定位标记、段间平面辨识方法及淋巴结清扫等方面的既往研究，并结合视频资料展示了我们的技术要点。

原文链接：

Uniportal Video-Assisted Thoracoscopic Segmentectomy for Early-Stage Non-Small Cell Lung Cancer: Overview, Indications, and Techniques