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The Role of VATS in Lung Cancer Surgery: Current Status and Prospects for Development

机译:VATS在肺癌手术中的作用:现状和发展前景。

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摘要

Since the introduction of anatomic lung resection by video-assisted thoracoscopic surgery (VATS) 20 years ago, VATS has experienced major advances in both equipment and technique, introducing a technical challenge in the surgical treatment of both benign and malignant lung disease. The demonstrated safety, decreased morbidity, and equivalent efficacy of this minimally invasive technique have led to the acceptance of VATS as a standard surgical modality for early-stage lung cancer and increasing application to more advanced disease. Formerly there was much debate about the feasibility of the technique in cancer surgery and proper lymph node handling. Although there is a lack of proper randomized studies, it is now generally accepted that the outcome of a VATS procedure is at least not inferior to a resection via a traditional thoracotomy.
机译:自20年前通过电视辅助胸腔镜手术(VATS)引入解剖学肺切除术以来,VATS在设备和技术上均取得了重大进步,在良性和恶性肺部疾病的外科治疗中都带来了技术挑战。这种微创技术的安全性,降低的发病率以及等效的功效,已使VATS被接受为早期肺癌的标准手术方式,并越来越多地应用于更晚期的疾病。以前,关于该技术在癌症手术和正确处理淋巴结中的可行性存在很多争论。尽管缺乏适当的随机研究,但现在人们普遍认为,VATS手术的结果至少不逊于通过传统开胸手术切除的结果。

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