《单孔胸腔镜手术治疗肺癌中国专家共识》解读  

Chinese expert consensus on the uniportal video-assisted thoracoscopic surgery for lung cancer:An interpreation

作　　者：董懂 韩丁培[1] 曹羽钦 吴晗 陈凯[1] 项捷[1] 车嘉铭[1] 朱良纲[1] 杭钧彪[1] 李鹤成[1] DONG Dong;HAN Dingpei;CAO Yuqin;WU Han;CHEN Kai;XIANG Jie;CHE Jiaming;ZHU Lianggang;Hang Junbiao;LI Hecheng(Department of Thoracic Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai,200025,P.R.China)

机构地区：[1]上海交通大学医学院附属瑞金医院胸外科,上海200025

出　　处：《中国胸心血管外科临床杂志》2021年第2期137-145,共9页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：单孔胸腔镜手术是肺癌微创治疗的重要方式。2010年,单孔胸腔镜手术首次应用于肺癌治疗;2019年、2020年,欧洲共识和中国共识相继发表。最新发表的中国共识分别从单孔胸腔镜手术的定义、用于肺癌治疗的适应证、安全性及可行性、手术技巧、学习曲线、短期及长期结果等方面为单孔胸腔镜手术标准化提供建议,对提高手术质量及减少相关并发症的发生至关重要。中国共识也对剑突下单孔胸腔镜、不插管麻醉单孔胸腔镜的现状进行了讨论,考虑到两者的技术难度与挑战性,其在临床治疗中的应用仍有一定限制。本文旨在对中国共识进行解读并比较其与欧洲共识的异同,为广大胸外科同仁提供参考。Uniportal video-assisted thoracic surgery(UniVATS)is a significant approach of mini-invasive surgery for lung cancer.UniVATS was first used for treatment of lung cancer in 2010.The European consensus and the Chinese consensus were published in 2019 and 2020 respectively.The latest Chinese consensus included the definition of UniVATS,indications for lung cancer treatment,safety and feasibility,surgical skills,learning curve,short-term and long-term results,providing suggestions for the standardization of uniportal video-assisted thoracic surgery,which are essential to improve the quality of surgery and reduce the incidence of related complications.The Chinese consensus also summarized the current status of subxiphoid UniVATS and non-intubated UniVATS for lung cancer.Considering the technical difficulties and challenges,the application of both technologies in clinical treatment has certain limitation.This article aims to give an interpretation of the results of the Chinese consensus and the similarities and to compare the differences with the European consensus,and to provide a reference for the majority of thoracic surgery colleagues.

关 键 词：单孔胸腔镜手术 肺癌 专家共识 临床解读 

分 类 号：R734.2[医药卫生—肿瘤]