切换至 "中华医学电子期刊资源库"
高级检索
中华胸部外科电子杂志

中华胸部外科电子杂志 ›› 2021, Vol. 08 ›› Issue (03) : 145 -152. doi: 10.3877/cma.j.issn.2095-8773.2021.03.02

国际胸外科专栏

Thoracic surgery in 2030
Joyce W. Y. Chan1, Rainbow W. H. Lau1, Aliss T. C. Chang1, Ivan C. H. Siu1, Teddy H. Y. Wong1, Zheng Li1, Calvin S. H. Ng1,†()   
  1. 1. Department of Surgery, Prince of Wales Hospital, the Chinese University of Hong Kong, Hong Kong SAR, China
  • 收稿日期:2021-05-10 接受日期:2021-06-02 出版日期:2021-08-28
  • 通信作者: Calvin S. H. Ng

Thoracic surgery in 2030

Joyce W. Y. Chan1, Rainbow W. H. Lau1, Aliss T. C. Chang1, Ivan C. H. Siu1, Teddy H. Y. Wong1, Zheng Li1, Calvin S. H. Ng1()   

  1. 1. Department of Surgery, Prince of Wales Hospital, the Chinese University of Hong Kong, Hong Kong SAR, China
  • Received:2021-05-10 Accepted:2021-06-02 Published:2021-08-28
  • Corresponding author: Calvin S. H. Ng
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

Joyce W. Y. Chan, Rainbow W. H. Lau, Aliss T. C. Chang, Ivan C. H. Siu, Teddy H. Y. Wong, Zheng Li, Calvin S. H. Ng. Thoracic surgery in 2030[J/OL]. 中华胸部外科电子杂志, 2021, 08(03): 145-152.

Joyce W. Y. Chan, Rainbow W. H. Lau, Aliss T. C. Chang, Ivan C. H. Siu, Teddy H. Y. Wong, Zheng Li, Calvin S. H. Ng. Thoracic surgery in 2030[J/OL]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2021, 08(03): 145-152.

Figure 1 Magnetic anchored and guided endoscopes (MAGS). (A) The schematic diagram of MAGS use during thoracoscopic surgery. Through a single incision, the internal portion of MAGS (thoracoscope/camera) is first delivered into patient's thoracic cavity and is anchored to the chest wall with the help of an external controller. Surgery can subsequently be performed using other instruments inserted through the previous incision; (B) the MAGS thoracoscope pointing at different directions; (C) the MAGS thoracoscope is anchored to porcine chest wall in in-vivo test.
Figure 2 Electromagnetic navigation bronchoscopy microwave ablation of lung nodules. (A) A lung nodule (represented by the green ball) is navigated towards with the help of electromagnetic navigation bronchoscopy, which provides real-time locational relationship between the tip of bronchoscope locatable guide and the lung nodule. The upper left panel shows the virtual bronchoscopic view; (B) the hybrid theatre setup for lung nodule localization, utilizing cone-beam CT and fluoroscopy; (C) the 3-axes post-ablation CT images of transbronchial microwave ablation of lung nodule. The target lung lesion is outlined by orange tracings. The radio-opaque ablation catheter is seen puncturing the lesion. The red/green/blue ovals represent the predicted ablation zone at a particular energy output. The surrounding ground glass opacities around the lung nodule represents the actual ablation zone, giving a margin of 6.6 mm.
1
Ng CS, Whelan RL, Lacy AM, et al. Is minimal access surgery for cancer associated with immunologic benefits? World J Surg 2005;29:975-81.
2
Ng CSH, Lee TW, Wan S, et al. Thoracotomy is associated with significantly more profound suppression in lymphocytes and natural killer cells than video-assisted thoracic surgery following major lung resections for cancer. J Invest Surg 2005;18:81-8.
3
Chan JWY, Yu PSY, Yang JH, et al. Surgical access trauma following minimally invasive thoracic surgery. Eur J Cardiothorac Surg 2020;58:i6-i13.
4
Harris CG, James RS, Tian DH, et al. Systematic review and meta-analysis of uniportal versus multiportal video-assisted thoracoscopic lobectomy for lung cancer. Ann Cardiothorac Surg 2016;5:76-84.
5
Ng CSH, Wan IYP, Yim APC. Impact of video-assisted thoracoscopic major lung resection on immune function. Asian Cardiovasc Thorac Ann 2009;17:426-32.
6
KhaitanPG, D'AmicoTA. Milestones in thoracic surgery. J Thorac Cardiovasc Surg 2018;155:2779-89.
7
Ng CSH. Uniportal video-assisted thoracic surgery: A look into the future. Eur J Cardiothorac Surg 2016;49 Suppl 1:i1-2.
8
Zhao ZR, Lau RWH, Ng CSH. Non-intubated video-assisted thoracic surgery: The final frontier? Eur J Cardiothorac Surg 2016;50:925-6.
9
Ng CSH, Kim HK, Wong RHL, et al. Single-Port Video-Assisted Thoracoscopic Major Lung Resections: Experience with 150 Consecutive Cases. Thorac Cardiovasc Surg 2016;64:348-53.
10
Atlas of Uniportal Video Assisted Thoracic Surgery. Editors: Diego Gonzalez-Rivas, Calvin Sze Hang Ng, Gaetano Rocco, Thomas A D'Amico. Springer Science Publishing 2019. ISBN 978-981-13-2603-5.
11
Ng CSH, Wong RHL, Lau RWH, et al. Minimizing chest wall trauma in single-port video-assisted thoracic surgery. J Thorac Cardiovasc Surg 2014;147:1095-6.
12
EndoEye Flex by Olympus. Available online:

URL    
13
Li Z, Oo MZ, Nalam V, et al. Design of a Novel Flexible Endoscope-Cardioscope. In ASME International; 2015.
14
Ng CSH, Wong RHL, Lau RWH, et al. Single port video-assisted thoracic surgery: Advancing scope technology. Eur J Cardiothorac Surg 2015;47:751.
15
Gonzalez-Rivas D, Yang Y, Ng C. Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope. Thorac Surg Clin 2016;26:187-201.
16
Zhang X, Ng CSH, Chiu PWY, et al. A Novel Magnetic Anchored and Steered Camera Robot for Single Port Access Surgery. IEEE International Conference on Robots and Automation (ICRA), Australia, 21-25 May 2018.
17
Ng CSH, Rocco G, Wong RHL, et al. Uniportal and single-incision video-assisted thoracic surgery: the state of the art. Interact Cardiovasc Thorac Surg 2014;19:661-6.
18
Li W, Cheng T, Ye M, et al. Kinematic Modeling and Visual Servo Control of a Soft-Bodied Magnetic Anchored and Guided Endoscope. IEEE/ASME Trans Mechatronics 2020;25:1531-42.
19
Google Glass Enterprise Edition 2 by Google. Available online:

URL    
20
Mojo Lens by Mojo Vision. Available online:

URL    
21
eMacula by Innovega. Available online:

URL    
22
Da Vinci Robotic Systems by Intuitive Surgical. Available online:

URL    
23
Zhao ZR, Ng CSH. Robotic lobectomy: an essential addition to the minimally invasive armory. Video-Assisted Thorac Surg 2016;1:4.
24
FlexDex Surgical by FlexDex Inc. Available online:

URL    
25
ArtiSential by LivsMed. Available online:

URL    
26
Ng CSH, He JX, Rocco G. Innovations and technologies in thoracic surgery. Eur J Cardiothorac Surg 2017;52:203-5.
27
Chan JYK, Wong EWY, Tsang RK, et al. Early results of a safety and feasibility clinical trial of a novel single-port flexible robot for transoral robotic surgery. Eur Arch Otorhinolaryngol 2017;274:3993-6.
28
The SPORT Surgical System by Titan Medical Inc. Available online:

URL    
29
Flex Robotic System by Medrobotics. Available online:

URL    
30
Zhu LH, Du Q, Chen L, et al. One-year follow-up period after transumbilical thoracic sympathectomy for hyperhidrosis: Outcomes and consequences. J Thorac Cardiovasc Surg 2014;147:25-8.
31
Wu YC, Yen-Chu Y, Yeh CJ, et al. Feasibility of transumbilical surgical lung biopsy and pericardial window creation. Surg Innov 2014;21:15-21.
32
Lau KC, Leung EYY, Chiu PWY, et al. A Flexible Surgical Robotic System for Removal of Early-Stage Gastrointestinal Cancers by Endoscopic Submucosal Dissection. IEEE Trans Ind Informatics 2016;12:2365-74.
33
SuperDimension Navigation System by Medtronic. Available online:

URL    
34
LungPoint VNB system by Broncus Medical Inc. Available online:

URL    
35
Chan JWY, Yu PSY, Lau RWH, et al. Hybrid operating room¡ªone stop for diagnosis, staging and treatment of early stage NSCLC. J Thorac Dis 2020;12:123-31.
36
Ng CSH, Chu CM, Lo CK, et al. Hybrid operating room Dyna-computed tomography combined image-guided electromagnetic navigation bronchoscopy dye marking and hookwire localization video-assisted thoracic surgery metastasectomy. Interact Cardiovasc Thorac Surg 2018;26:338-40.
37
Ng CSH, Yu SCH, Lau RWH, et al. Hybrid DynaCT-guided electromagnetic navigational bronchoscopic biopsy. Eur J Cardiothorac Surg 2016;49:i87-8.
38
Zhao ZR, Lau RWH, Ng CSH. Hybrid theatre and alternative localization techniques in conventional and single-port video-assisted thoracoscopic surgery. J Thorac Dis 2016;8:S319-27.
39
Zhao ZR, Lau RWH, Ng CSH. Hybrid Theater and Uniportal Video-Assisted Thoracic Surgery: The Perfect Match for Lung Nodule Localization. Thorac Surg Clin 2017;27:347-55.
40
Zhao ZR, Lau RWH, Ng CSH. Electromagnetic navigation bronchoscopy in hybrid theater. Front Surg 2019;6:10.
41
Yu PSY, Chu CM, Lau RWH, et al. Hybrid Theater Facilitates Lung-Preserving Multimodal Treatment for Multiple Pulmonary Metastases. Ann Thorac Surg 2021;111:e89-92.
42
Monarch Platform by Auris Health. Available online:

URL    
43
Illumisite platform by Medtronic. Available online:

URL    
44
Archimedes System by Broncus Medical. Available online:

URL    
45
Zhao ZR, Lau RWH, Ng CSH. Catheter-based alternative treatment for early-stage lung cancer with a high-risk for morbidity. J Thorac Dis 2018;10:S1864-70.
46
Brace CL, Hinshaw JL, Laeseke PF, et al. Pulmonary thermal ablation: Comparison of radiofrequency and microwave devices by using gross pathologic and CT findings in a swine model. Radiology 2009;251:705-11.
47
Chan JWY, Lau RWH, Ngai JCL, et al. Transbronchial microwave ablation of lung nodules with electromagnetic navigation bronchoscopy guidance¡ªa novel technique and initial experience with 30 cases. Transl Lung Cancer Res 2021;10:1608-22.
48
Ferguson JS, Henne E. Bronchoscopically Delivered Thermal Vapor Ablation of Human Lung Lesions. J Bronchology Interv Pulmonol 2019;26:108-13.
49
Choi CKK, Chiu YTE, Zhuo X, et al. Dopamine-Mediated Assembly of Citrate-Capped Plasmonic Nanoparticles into Stable Core-Shell Nanoworms for Intracellular Applications. ACS Nano 2019;13:5864-84.
50
Luminus Microendoscope. Available online:

URL    
51
Marescaux J, Leroy J, Rubino F, et al. Transcontinental robot-assisted remote telesurgery: Feasibility and potential applications. Ann Surg 2002;235:487-92.
52
Zheng J, Wang Y, Zhang J, et al. 5G ultra-remote robot-assisted laparoscopic surgery in China. Surg Endosc 2020;34:5172-80.
No related articles found!
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号