剑突下单孔胸腔镜手术治疗早期肺癌的手术操作质量控制  

The management guideline and quality control of subxiphoid uniportal video-assisted thoracoscopic surgery for early-stage lung cancer

作　　者：蔡昊旻[1] 谢冬[1] 赵德平[1] 蒋雷[1] 何文新[1] 陈昶[1] 姜格宁[1] 朱余明[1] CAI Haomin;XIE Dong;ZHAO Deping;JIANG Lei;HE Wenxin;CHEN Chang;JIANG Gening;ZHU Yuming(Department of Thoracic Surgery,Shanghai Pulmonary Hospital,Tongji University,Shanghai,200433,P.R.China)

机构地区：[1]同济大学附属上海市肺科医院胸外科,上海200433

出　　处：《中国胸心血管外科临床杂志》2020年第9期1001-1004,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：剑突下单孔胸腔镜手术是近年来微创胸外科领域重要的创新之一。由于其避免了损伤肋间神经,以往研究表明可明显降低围术期和远期切口疼痛。该手术操作难度较高,所以在患者选择上相较于传统肋间胸腔镜手术更为严格,术中需要某些特殊的手术技巧,并配合以特制的加长器械。希望本文所述的临床经验和操作规范,随着该术式的进一步普及不断补充完善,产生更大的借鉴价值。In recent years,subxiphoid uniportal video-assisted thoracoscopic surgery is one of the most important innovations in the field of mini-invasive thoracic surgery.Because it avoids the injury of intercostal nerve,previous studies have shown that it can significantly reduce the perioperative and long-term incision pain.The operation is technically more difficult,so the selection of patients is more strict compared with the traditional intercostal surgery.Some special surgical techniques are needed during the operation,and special lengthening instruments should be used.We hope that the experience described in this paper will be continuously supplemented and improved with the further development of this technique,and will produce greater reference value.

关 键 词：剑突下 电视辅助胸腔镜手术 单孔 外科手术 

分 类 号：R734.2[医药卫生—肿瘤]