非气管插管的电视胸腔镜肺减容手术  

Non-intubated video-assisted thoracoscopic surgery for lung volume reduction

作　　者：魏博华 金鑫 张毅[1] WEI Bo-hua;JIN Xin;ZHANG Yi(Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China)

机构地区：[1]首都医科大学宣武医院胸外科,北京100053

出　　处：《中国临床新医学》2022年第4期283-286,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：非气管插管的电视胸腔镜手术(NI-VATS)是一项符合加速康复外科(ERAS)理念的新技术,被应用于几乎所有的胸腔镜手术。近年来,此项技术逐渐被应用于肺减容术。然而,这方面的报道和研究尚不多见。该文从手术适应证和禁忌证、麻醉技巧、手术技巧三个方面对非气管插管的电视胸腔镜肺减容术目前的研究进展及展望作一述评。Non-intubated video-assisted thoracoscopic surgery(NI-VATS)is a new technique in line with the concept of enhanced recovery after surgery(ERAS)and is applied to almost all kinds of thoracoscopic surgery.In recent years,this technique has been gradually applied to lung volume reduction surgery.However,there are few reports and studies in this field.This paper reviews the current research progress and prospect of NI-VATS for lung volume reduction from the three aspects:the indications and contraindications of the surgery,anesthesia skills and surgical skills.

关 键 词：肺减容术 非插管麻醉 电视胸腔镜手术 

分 类 号：R655[医药卫生—外科学]