Minimally invasive thoracic surgery [Minimal invasive Thoraxchirurgie]

被引：0

作者：

Eckersberger F. ^{[1
]}

Kandioler-Eckersberger D. ^{[1
]}

机构：

[1] Klinische Abteilung für Herz-Thoraxchirurgie, Universitätsklinik für Chirurgie, Währinger Gürtel 18-20, Wien

来源：

Acta chirurgica Austriaca | 1999年 / 31卷 / 3期

关键词：

Minimally invasive surgery; Thoracic surgery; Video-assisted thoracic surgery; Video-thoracoscopy;

D O I：

10.1007/BF02619988

中图分类号：

学科分类号：

摘要：

Background: This year marks the tenth anniversary of the beginning of the new era of video-assisted thoracic surgery. During that time, nearly every type of thoracic surgical operation has been performed 'through the scope'. Video-assisted technique (VATS) has taken a firm place in thoracic surgery. Methods: By means of available reports of the literature and personal experiences the current status is pointed out for indications, technical procedure, conversion rate as well as training and education to identify areas of potential development. Results: Nowadays commonly accepted indications include: Spontaneous pneumothorax, biopsies in pleural and mediastinal diseases or tumors, peripheral coin lesions, biopsies in interstitial lung diseases, cysts and emphysema, sympathectomy and pericardial windows. VATS is used not routinely in metastasectomy, decortication after empyema and hematothorax, treatment in lung cancer for lobectomy or pneumonectomy and in oncological esophageal surgery. Conclusions: In a wide field VATS has become a standard procedure in diagnosis and therapy. The debate between proponents of the thoracoscope and an open approach has largely focused on: technical feasibility, pain reduction, relative costs both procedural and in-patient, safety issues and the adequacy of resection in malignant diseases.

引用

页码：129 / 132

页数：3

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