非小细胞肺癌肺叶切除手术方式的发展历程  

Development of lobectomy for non-small cell lung cancer

作　　者：申展铭 李向东[2] 张文平[2] SHEN Zhanming;LI Xiangdong;ZHANG Wenping(Changzhi Medical College,Changzhi,Shanxi 046000,China;不详)

机构地区：[1]长治医学院,山西长治046000 [2]长治医学院附属和平医院胸外科,山西长治046000

出　　处：《中国临床研究》2024年第8期1284-1288,共5页Chinese Journal of Clinical Research

摘　　要：肺癌是世界上常见的恶性肿瘤之一,在中国肺癌的发病率和死亡率都处于较高的水平,在北美及其他发达国家,肺癌的死亡率更是高居榜首。肺癌的早期临床症状通常并不明显,当患者因为出现咳嗽、胸痛等身体不适前来就诊时,往往已经错过了最佳治疗时机。因此肺癌的预防、早期筛查、治疗方法受到越来越多的关注。目前临床上治疗非小细胞肺癌(NSCLC)的方法主要有手术治疗、化疗、放疗、免疫治疗、靶向治疗等,但手术治疗仍是治疗早中期NSCLC的主要方法之一。本文对目前NSCLC手术方式的演变,从传统的开胸肺叶切除术加系统淋巴结清扫术,到目前所流行的电视辅助胸腔镜手术(VATS)以及机器人辅助胸腔镜手术(RATS)作一综述,旨在为NSCLC手术方式的选择提供理论支持。Lung cancer is one of the most common malignant tumors worldwide,with high incidence and mortality rates in China,and even higher mortality rates in North America and other developed countries.Early symptoms of lung cancer are often not obvious,and by the time patients seek medical attention due to symptoms such as cough,chest pain and other physical discomforts,the optimal treatment window is often missed.Therefore,prevention,early screening,and treatment methods for lung cancer have received increasing attention.Currently,clinical treatments for non-small cell lung cancer(NSCLC)mainly include surgery,chemotherapy,radiotherapy,immunotherapy,targeted therapy,etc.,with surgery remaining one of the main methods for treating early to mid-stage NSCLC.This paper provides an overview of the evolution of NSCLC surgical methods,from traditional open lobectomy with systematic lymph node dissection to the currently popular video-assisted thoracoscopic surgery(VATS)and robot-assisted thoracoscopic surgery(RATS),aiming to provide theoretical support for the selection of NSCLC surgical methods.

关 键 词：非小细胞肺癌 肺叶切除术 电视辅助胸腔镜手术 机器人辅助胸腔镜手术 单孔电视胸腔镜 

分 类 号：R734.2[医药卫生—肿瘤]