肺癌微创手术的生物学意义之思考  

Reflection on the Biological Significance of Minimally Invasive Surgery for Lung Cancer

作　　者：罗清泉[1] 黄佳[1] Qingquan LUO, Jia HUANG(Shanghai Lung Tumor Clinical Medical Center, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, Chin)

机构地区：[1]上海交通大学附属胸科医院,上海市肺部肿瘤临床医学中心,上海200030

出　　处：《中国肺癌杂志》2018年第3期173-175,共3页Chinese Journal of Lung Cancer

摘　　要：能够尽量缩短手术时长、加速术后快速康复的微创手术才能达到生物学意义上的微创。肺癌微创手术有多种手术方式,包括单孔胸腔镜手术和多孔胸腔镜手术,其中多孔胸腔镜手术又包含达芬奇机器人手术。外科手术机器人作为目前微创技术领域的前沿,已广泛应用于各个外科领域。本手术组多孔机器人肺手术时长平均为(91.51±30.80)min,相较单孔手术时长大大缩短。目前机器人手术系统尚存在一些缺陷,也缺少全国统一的机器人胸部手术诊疗规范,有待未来技术发展和大型前瞻性随机对照试验来解决。Minimal invasive surgery with short operation time and enhanced recovery after surgery can truly achieve biological minimal invasiveness. The minimal invasive lung cancer surgery includes several kinds, such as uniportal video-assisted thoracoscopic surgery （VATS） and multi-portal VATS. Robotic-assisted thoracic surgery （RATS） can be categorized into multi-portal VATS. As a frontier technology of minimal invasive surgical technique, surgical robotic system has been broadly applied in many areas. The average RATS operation time is （91.51±30.80） min among our team, which is much shorter than reported uni-portal VATS operation time. For now, RATS has some drawbacks and is lacking of national practice guidelines, which, we believe, will be solved by technology development and largescale randomized controlled trials.

关 键 词：微创外科手术 肺肿瘤 生物学微创 

分 类 号：R734.2[医药卫生—肿瘤]