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中华胸部外科电子杂志 ›› 2016, Vol. 03 ›› Issue (02) : 65 -69. doi: 10.3877/cma.j.issn.2095-8773.2016.02.001

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肺癌微创外科治疗进展
刘成武1, 刘伦旭1,()   
  1. 1. 610041 成都,四川大学华西医院胸外科;中国西部肺癌早期诊断与综合治疗协同创新中心
  • 收稿日期:2016-04-10 出版日期:2016-05-28
  • 通信作者: 刘伦旭
  • 基金资助:
    四川省科技厅科技支撑计划项目(2013SZ0005和2014SZ0148)

Advancement of minimally-invasive surgery in the treatment of lung cancer

Chengwu Liu1, Lunxu Liu1,()   

  1. 1. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China; Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Chengdu 610041, China
  • Received:2016-04-10 Published:2016-05-28
  • Corresponding author: Lunxu Liu
  • About author:
    Corresponding author: Liu Lunxu, Email:
引用本文:

刘成武, 刘伦旭. 肺癌微创外科治疗进展[J]. 中华胸部外科电子杂志, 2016, 03(02): 65-69.

Chengwu Liu, Lunxu Liu. Advancement of minimally-invasive surgery in the treatment of lung cancer[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2016, 03(02): 65-69.

以电视辅助胸腔镜手术(VATS)为代表的微创肺癌手术经过20余年发展,技术上趋于成熟,在肺癌外科治疗中的地位也逐渐确立。回顾现代VATS肺癌外科的发展历程,可分为以下四个方面:常规手术规范化、简易化;复杂手术已不再是禁区;术中风险防控有策略;更加微创、精准是趋势。可切除肺癌均有望选择胸腔镜手术,未来的肺癌外科将既"微创"又"精准"。

Minimally-invasive surgery for the treatment of lung cancer, which is represented by video-assisted thoracic surgery, has developed for more than 20 years with gradually matured techniques and established status. The progression of modern video-assisted thoracoscopic lung cancer surgery could be divided into four stages, including: (1) the standardization and simplification of routine operations; (2) challenging complicated operations; (3) exploring strategies for the prevention and management of intraoperative accidents; (4)marching toward the minimally-invasiveness and precision surgery. All resectable lung cancer could potentially be removed through the thoracoscopic approach. Lung cancer surgery is to be more minimally-invasive and precise in the future.

图1 胸外科手术切口演变
[1]
ThomasPA,Jr. A thoracoscopic peek: what did Jacobaeus see? [J] Ann Thorac Surg, 1994, 57(3):770-771.
[2]
JacobaeusHC. The cauterization of adhesions in artificial pneumothorax treatment of pulmonary tuberculosis under thoracoscopic Control[J]. Proc R Soc Med, 1923, 16(Electro Ther Sect):45-62.
[3]
RoviaroG,RebuffatC,VaroliF, et al. Videoendoscopic pulmonary lobectomy for cancer[J]. Surg Laparosc Endosc, 1992, 2(3):244-247.
[4]
SwansonSJ,HerndonJE, 2nd,D'AmicoTA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802--a prospective, multi-institution feasibility study[J]. J Clin Oncol, 2007, 25(31):4993-4997.
[5]
YanTD,BlackD,BannonPG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer[J]. J Clin Oncol, 2009, 27(15):2553-2562.
[6]
FalcozPE,PuyraveauM,ThomasPA, et al. Video-assisted thoracoscopic surgery versus open lobectomy for primary non-small-cell lung cancer: a propensity-matched analysis of outcome from the European Society of Thoracic Surgeon database[J]. Eur J Cardiothorac Surg, 2016,49(2):602-609.
[7]
YangCF,SunZ,SpeicherPJ, et al. Use and outcomes of minimally invasive lobectomy for stage Inon-small cell lung cancer in the National Cancer Data Base[J]. Ann Thorac Surg, 2016, 101(3):1037-1042.
[8]
PaulS,IsaacsAJ,TreasureT, et al. Long term survival with thoracoscopic versus open lobectomy: propensity matched comparative analysis using SEER-Medicare database[J]. BMJ, 2014, 349:g5575.
[9]
PagesPB,DelpyJP,OrsiniB, et al. Propensity score analysis comparing videothoracoscopic lobectomy with thoracotomy: a French nationwide study[J]. Ann Thorac Surg, 2016 ,101(4):1370-1378.
[10]
StamenovicD,BostanciK,MesserschmidtA, et al. Fissureless fissure-last video-assisted thoracoscopic lobectomy for all lung lobes: a better alternative to decrease the incidence of prolonged air leak?[J] Eur J Cardiothorac Surg,2016,50(1):118-123.
[11]
Gomez-CaroA,CalvoMJ,LanzasJT, et al. The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy[J]. Eur J Cardiothorac Surg, 2007, 31(2):203-208.
[12]
BalsaraKR,BaldersonSS,D'AmicoTA. Surgical techniques to avoid parenchymal injury during lung resection (fissureless lobectomy)[J]. Thorac Surg Clin, 2010, 20(3):365-369.
[13]
LiuL,CheG,PuQ, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy[J]. Surg Oncol, 2010, 19(2):e71-77.
[14]
YanTD. Surgical atlas of thoracoscopic lobectomy and segmentectomy[J]. Ann Cardiothorac Surg, 2014, 3(2):183-191.
[15]
NakadaT,AkibaT,InagakiT, et al. Thoracoscopic anatomical subsegmentectomy of the right S2b + S3 using a 3D printing model with rapid prototyping[J]. Interact Cardiovasc Thorac Surg, 2014,19(4):696-698.
[16]
LiuC,PuQ,GuoC, et al. Non-grasping en bloc mediastinal lymph node dissection for video-assisted thoracoscopic lung cancer surgery[J]. BMC Surg, 2015, 15(1):38.
[17]
SantambrogioL,CioffiU,De SimoneM, et al. Video-assisted sleeve lobectomy for mucoepidermoid carcinoma of the left lower lobar bronchus: a case report[J]. Chest, 2002, 121(2):635-636.
[18]
MeiJ,PuQ,LiaoH, et al. Initial experience of video-assisted thoracic surgery left upper sleeve lobectomy for lung cancer: case report and literature review[J]. Thoracic Cancer, 2012, 3(4):348-352.
[19]
LiuL,MeiJ,PuQ, et al. Thoracoscopic bronchovascular double sleeve lobectomy for non-small-cell lung cancer[J]. Eur J Cardiothorac Surg, 2014, 46(3):493-495.
[20]
HuangJ,LiJ,QiuY, et al. Thoracoscopic double sleeve lobectomy in 13 patients: a series report from multi-centers[J]. J Thorac Dis, 2015,7(5):834-842.
[21]
ReichertM,KerberS,AmatiAL, et al. Total video-assisted thoracoscopic (VATS) resection of a left-sided sulcus superior tumor after induction radiochemotherapy: video and review[J]. Surg Endosc, 2015,29(8):2407-2409.
[22]
XuX,ChenH,YinW, et al. Initial experience of thoracoscopic lobectomy with partial removal of the superior vena cava for lung cancers[J]. Eur J Cardiothorac Surg, 2015,47(1):e8-e12.
[23]
XuX,ChenH,YinW, et al. Thoracoscopic half carina resection and bronchial sleeve resection for central lung cancer[J]. Surg Innov, 2014, 21(5):481-486.
[24]
DemmyTL,NwoguCE,YendamuriS. Thoracoscopic chest wall resection: what is its role?[J] Ann Thorac Surg, 2010, 89(6):S2142-2145.
[25]
WatanabeA,KoyanagiT,NakashimaS, et al. How to clamp the main pulmonary artery during video-assisted thoracoscopic surgery lobectomy[J]. Eur J Cardiothorac Surg, 2007, 31(1):129-131.
[26]
NakanishiR,OkaS,OdateS. Video-assisted thoracic surgery major pulmonary resection requiring control of the main pulmonary artery[J]. Interact Cardiovasc Thorac Surg, 2009, 9(4):618-622.
[27]
NakanishiR,YamashitaT,OkaS. Initial experience of video-assisted thoracic surgery lobectomy with partial removal of the pulmonary artery[J]. Interact Cardiovasc Thorac Surg, 2008, 7(6):996-1000.
[28]
ZhangZ,HuangJ,YinR, et al. A new technique for partial removal of the pulmonary artery in video-assisted thoracic surgical lobectomy[J]. J Thorac Cardiovasc Surg, 2012, 144(2):512-514.
[29]
MeiJ,PuQ,LiaoH, et al. A novel method for troubleshooting vascular injury during anatomic thoracoscopic pulmonary resection without conversion to thoracotomy[J]. Surg Endosc, 2013, 27(2):530-537.
[30]
GonzalezD,ParadelaM,GarciaJ, et al. Single-port video-assisted thoracoscopic lobectomy[J]. Interact Cardiovasc Thorac Surg, 2011, 12(3):514-515.
[31]
SalatiM,RoccoG. The uni-portal video-assisted thoracic surgery: achievements and potentials[J]. J Thorac Dis, 2014, 6(Suppl 6):S618-622.
[32]
LiuCC,WangBY,ShihCS, et al. Subxiphoid single-incision thoracoscopic left upper lobectomy[J]. J Thorac Cardiovasc Surg, 2014, 148(6):3250-3251.
[33]
Gonzalez-RivasD,BonomeC,FieiraE, et al. Non-intubated video-assisted thoracoscopic lung resections: the future of thoracic surgery?[J] Eur J Cardiothorac Surg, 2016, 49(3):721-731.
[34]
YeX,XieL,ChenG, et al. Robotic thoracic surgery versus video-assisted thoracic surgery for lung cancer: a meta-analysis[J]. Interact Cardiovasc Thorac Surg, 2015,21(4):409-414.
[35]
PanX,ChenY,ShiJ, et al. Robotic assisted extended sleeve lobectomy after neoadjuvant chemotherapy[J]. Ann Thorac Surg, 2015, 100(6):e129-e131.
[36]
YamashitaS,YoshidaY,IwasakiA. Robotic Surgery for Thoracic Disease[J]. Ann Thorac Cardiovasc Surg, 2016, 22(1):1-5.
[37]
GodoyMC,SabloffB,NaidichDP. Subsolid pulmonary nodules: imaging evaluation and strategic management[J]. Curr Opin Pulm Med, 2012, 18(4):304-312.
[38]
TravisWD,BrambillaE,RielyGJ. New pathologic classification of lung cancer: relevance for clinical practice and clinical trials[J]. J Clin Oncol, 2013, 31(8):992-1001.
[39]
SuzukiK,KoikeT,AsakawaT, et al. A prospective radiological study of thin-section computed tomography to predict pathological noninvasiveness in peripheral clinical IA lung cancer (Japan Clinical Oncology Group 0201)[J]. J Thorac Oncol, 2011, 6(4):751-756.
[40]
LiuS,WangR,ZhangY, et al. Precise diagnosis of intraoperative frozen section is an effective method to guide resection strategy for peripheral small-sized lung adenocarcinoma[J]. J Clin Oncol, 2016, 34(4):307-313.
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