切换至 "中华医学电子期刊资源库"

中华胸部外科电子杂志 ›› 2020, Vol. 07 ›› Issue (03) : 131 -134. doi: 10.3877/cma.j.issn.2095-8773.2020.03.01

所属专题: 机器人专题 机器人手术 文献

述评

局部进展期非小细胞肺癌——机器人辅助胸腔镜手术的下一个战场?
成兴华1, 杨运海1, 罗清泉1,()   
  1. 1. 200030 上海,上海市胸科医院肿瘤外科,上海市肺部肿瘤临床医学中心
  • 收稿日期:2020-08-05 修回日期:2020-08-25 接受日期:2020-08-26 出版日期:2020-08-28
  • 通信作者: 罗清泉
  • 基金资助:
    上海市卫健委先进适宜技术项目(2019SY047); 上海市卫健委优秀人才基金项目(2018YQ61); 上海市科学技术委员会科技创新行动计划(18441901500)

Locally advanced non-small cell lung cancer—the next battle field of robot-assisted thoracoscopic surgery?

Xinghua Cheng1, Yunhai Yang1, Qingquan Luo1,()   

  1. 1. Department of Oncology, Shanghai Chest Hospital, Shanghai Lung Cancer Center, Shanghai 200030, China
  • Received:2020-08-05 Revised:2020-08-25 Accepted:2020-08-26 Published:2020-08-28
  • Corresponding author: Qingquan Luo
  • About author:
    Corresponding author: Luo Qingquan, Email:
引用本文:

成兴华, 杨运海, 罗清泉. 局部进展期非小细胞肺癌——机器人辅助胸腔镜手术的下一个战场?[J]. 中华胸部外科电子杂志, 2020, 07(03): 131-134.

Xinghua Cheng, Yunhai Yang, Qingquan Luo. Locally advanced non-small cell lung cancer—the next battle field of robot-assisted thoracoscopic surgery?[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2020, 07(03): 131-134.

局部进展期非小细胞肺癌的治疗在临床上极具挑战性,常需要多学科共同参与。局部治疗的效果直接决定患者后续治疗策略及远期预后。对于可切除局部进展期肺癌,目前开放手术仍是主流术式。机器人辅助胸腔镜手术由于更清晰的视野及灵活精准的操控,在操作上更接近开放手术,可对复杂部位进行更精细的解剖,具有传统腔镜手术无法达到的技术优势,同时较开放手术可明显降低手术创伤,因而有可能在局部进展期肺癌的外科治疗中发挥更大的作用。

The treatment of locally advanced non-small cell lung cancer is challenging which usually requires multiple disciplinary cooperation. The efficacy of local treatment directly determines the patient’s subsequent treatment strategy and long-term prognosis. For resectable disease, open surgery is still the mainstream operation. Robot-assisted thoracoscopic surgery is more similar to open surgery than traditional thoracoscopic approach due to clearer vision, more flexible and precise manipulation, which renders it better ability to perform fine dissection in more complex anatomic areas. As a minimally invasive approach, it would have a greater role in the surgical treatment of locally advanced lung cancer in the near future.

1
Bryan DS, Donington JS. The role of surgery in management of locally advanced non-small cell lung cancer[J]. Curr Treat Options Oncol,2019,20(4):27.
2
Tabchi S, Kassouf E, Rassy EE,et al. Management of stage III non-small cell lung cancer[J]. Semin Oncol,2017,44(3):163-177.
3
Park BJ, Yang HX, Woo KM,et al. Minimally invasive (robotic assisted thoracic surgery and video-assisted thoracic surgery) lobectomy for the treatment of locally advanced non-small cell lung cancer[J]. J Thorac Dis,2016,8(Suppl 4):S406-S413.
4
Hennon MW, Demmy TL. Video-assisted thoracoscopic surgery (VATS) for locally advanced lung cancer[J]. Ann Cardiothorac Surg,2012,1(1):37-42.
5
Gonzalez-Rivas D, Fieira E, Delgado M,et al. Is uniportal thoracoscopic surgery a feasible approach for advanced stages of non-small cell lung cancer?[J]. J Thorac Dis,2014,6(6):641-648.
6
Yan TD, Cao C, D’Amico TA,et al. Video-assisted thoracoscopic surgery lobectomy at 20 years:a consensus statement[J]. Eur J Cardiothorac Surg,2014,45(4):633-639.
7
Montagne F, Baste JM. Should we keep on doing robotic surgery to treat lung cancer in 2020?[J]. Ann Transl Med,2020,8(12):775.
8
Veronesi G, Novellis P, Voulaz E,et al. Robotic assisted lung resection for locally advanced lung cancer[J]. Expert Rev Respir Med,2020,14(2):121-124.
9
Mathisen DJ. Is video-assisted thoracoscopic lobectomy inferior to open lobectomy oncologically?[J]. Ann Thorac Surg,2013,96(3):755-756.
10
Kneuertz PJ, Cheufou DH, D'Souza DM,et al. Propensity-score adjusted comparison of pathologic nodal upstaging by robotic, video-assisted thoracoscopic, and open lobectomy for non-small cell lung cancer[J]. J Thorac Cardiovasc Surg,2019,158(5):1457-1466.
11
Zhang Y, Liu S, Han Y,et al. Robotic Anatomical Segmentectomy:An Analysis of the Learning Curve[J]. Ann Thorac Surg,2019,107(5):1515-1522.
12
Veronesi G, Park B, Cerfolio R,et al. Robotic resection of Stage III lung cancer:an international retrospective study[J]. Eur J Cardiothorac Surg,2018,54(5):912-919.
13
Cerfolio RJ, Ghanim AF, Dylewski M,et al. The long-term survival of robotic lobectomy for non-small cell lung cancer: A multi-institutional study[J]. J Thorac Cardiovasc Surg,2018,155(2):778-786.
14
Huang J, Li C, Li H,et al. Robot-assisted thoracoscopic surgery versus thoracotomy for c-N2 stage NSCLC: short-term outcomes of a randomized trial[J]. Transl Lung Cancer Res,2019,8(6):951-958.
15
Li C, Hu Y, Huang J,et al. Comparison of robotic-assisted lobectomy with video-assisted thoracic surgery for stage IIB-IIIA non-small cell lung cancer[J]. Transl Lung Cancer Res,2019,8(6):820-828.
16
Schmid T, Augustin F, Kainz G,et al. Hybrid video-assisted thoracic surgery-robotic minimally invasive right upper lobe sleeve lobectomy[J]. Ann Thorac Surg,2011,91(6):1961-1965.
17
Pan X, Gu C, Wang R,et al. Initial experience of robotic sleeve resection for lung cancer patients[J]. Ann Thorac Surg,2016,102(6):1892-1897.
18
Pan X, Chen Y, Shi J,et al. Robotic assisted extended sleeve lobectomy after neoadjuvant chemotherapy[J]. Ann Thorac Surg,2015,100(6):e129-e131.
19
Pan X, Gu C, Yang J,et al. Robotic double-sleeve resection of lung cancer: technical aspects[J]. Eur J Cardiothorac Surg,2018,54(1):183-184.
20
Gu C, Pan X, Chen Y,et al. Short-term and mid-term survival in bronchial sleeve resection by robotic system versus thoracotomy for centrally located lung cancer[J]. Eur J Cardiothorac Surg,2018,53(3):648-655.
21
Qiu T, Zhao Y, Xuan Y,et al. Robotic sleeve lobectomy for centrally located non-small cell lung cancer:A propensity score-weighted comparison with thoracoscopic and open surgery[J]. J Thorac Cardiovasc Surg,2020,160(3):838-846.
22
Antonia SJ, Villegas A, Daniel D,et al. Overall Survival with Durvalumab after Chemoradiotherapy in Stage III NSCLC[J]. N Engl J Med,2018,379(24):2342-2350.
23
Bott MJ, Yang SC, Park BJ,et al. Initial results of pulmonary resection after neoadjuvant nivolumab in patients with resectable non-small cell lung cancer[J]. J Thorac Cardiovasc Surg,2019,158(1):269-276.
[1] 李炳根, 龚独辉, 赖泽如, 聂向阳. 产后腹直肌分离全腔镜下肌后/腹膜外补片修补术的临床研究[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 724-727.
[2] 梁开地, 缑文斌, 莫居容. 肺癌组织中细胞角蛋白18的表达及与预后的相关性[J]. 中华肺部疾病杂志(电子版), 2023, 16(05): 688-690.
[3] 黄承路, 廖飞, 刘显平, 王志强. 血清外泌体Has_circ_0060937过度表达与NSCLC转移和不良预后的关系[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 490-494.
[4] 陈坤, 何傅梅, 方婷, 陈文瑞. 血清sCD73与EGFR/ALK野生型非小细胞肺癌免疫治疗效果的相关性分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 504-507.
[5] 朱超男, 王帅, 王文博, 郑贸根, 程远, 陈志全. 非小细胞肺癌患者组织miR-31-5p表达与临床病理特征及预后的关系[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 508-510.
[6] 徐天亮, 程干思, 吴亚平, 龚荣, 胡洁, 段群娣, 李承慧. 奥希替尼联合安罗替尼二线治疗转移性NSCLC的疗效分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 520-522.
[7] 赵超, 张乾. SAPB和TPVB在腔镜下肺癌根治术中的应用及镇痛效果分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 535-537.
[8] 蒙姣姣, 胡刚, 欧阳涣堃. 肺癌术前淋巴结转移及MWA手术效果预测分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 547-549.
[9] 魏婷婷, 胡小红, 龚自强, 熊鹿. 老年非小细胞肺癌组织ARPC2表达及与预后关系[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 584-586.
[10] 杜静怡, 徐兴祥. 循环肿瘤细胞在非小细胞肺癌中的研究进展[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 596-600.
[11] 师佩, 邱璐, 魏东东, 金发光, 顾兴. 光动力治疗肺癌患者的临床管理及预后分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(03): 427-428.
[12] 宁晓矿, 郝普明, 闫睿, 刘云泽, 李宬润. 单向式三孔胸腔镜肺叶切除术治疗早期肺癌应用研究[J]. 中华腔镜外科杂志(电子版), 2023, 16(04): 227-232.
[13] 谭可, 李锦平, 彭玉涛, 吴文汧, 杨子文, 汪阳, 陶立波, 刘畅. 机器人辅助立体定向血肿引流术治疗自发性脑出血疗效及卫生经济学评价[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(04): 205-214.
[14] 熊亚琼, 田文泽, 冷雪春, 尤振兵, 韦欣琪. 集束化干预在肺癌术后顽固性咳嗽中的应用[J]. 中华胸部外科电子杂志, 2023, 10(04): 207-212.
[15] 陈立如, 刘亮, 彭雷, 徐全, 章晔. 单孔胸腔镜左肺下叶袖式切除术:新辅助免疫化疗后手术[J]. 中华胸部外科电子杂志, 2023, 10(04): 228-233.
阅读次数
全文


摘要