引用本文:岳瀚逊,张 瑜,蔺瑞江(综述),韩 彪(审校).加速康复外科理念下无管单孔胸腔镜手术临床应用的现状与进展[J].中国临床新医学,2019,12(4):455-459.
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加速康复外科理念下无管单孔胸腔镜手术临床应用的现状与进展
岳瀚逊,张 瑜,蔺瑞江(综述),韩 彪(审校)
730000 甘肃,兰州大学第一医院胸外科
摘要:
[摘要] 无管单孔胸腔镜手术是一项符合加速康复外科理念(enhanced recovery after surgery,ERAS)的新技术。该文从(1)无管单孔胸腔镜手术的麻醉方式;(2)无管单孔胸腔镜手术在肺大疱切除、治疗手汗症、肺组织活检、亚肺叶切除、肺叶切除及纵隔肿瘤切除中的临床应用;(3)无管单孔胸腔镜手术的优势;(4)无管单孔胸腔镜手术的不足;(5)无管单孔胸腔镜手术的展望等几个方面就无管单孔胸腔镜手术临床应用的现状与进展进行综述。
关键词:  胸腔镜手术  加速康复外科  肺大疱  间质性肺疾病  手汗症  纵隔肿瘤
DOI:10.3969/j.issn.1674-3806.2019.04.29
分类号:R 655
基金项目:甘肃省自然科学基金项目(编号:1606RJZA129);甘肃省青年科技基金项目(编号:1606RJYA283)
Research progress of tubeless single-port video-assisted thoracic surgery under the guidance of enhanced recovery after surgery
YUE Han-xun, ZHANG Yu, LIN Rui-jiang, et al.
Department of Thoracic Surgery, the First Hospital Affiliated to Lanzhou University, Gansu 730000, China
Abstract:
[Abstract] Tubeless single-port video-assisted thoracic surgery(tubeless VATS) is an advanced technology in accordance with the concept of enhanced recovery after surgery. The research progress of tubeless single-port video-assisted thoracic surgery under the guidance of enhanced recovery after surgery is reviewed in this paper and we focus on four aspects of tubeless VATS: (1) anesthesia methods of tubeless VATS; (2) clinical practice of tubeless VATS in pulmonary bullae resection, therapy of palmar hyperhidrosis, pulmonary biopsy, sub-lobectomy, lobectomy and mediastinal tumor resection; (3)advantages of tubeless VATS; (4)disadvantages of tubeless VATS; (5)vista of tubeless VATS.
Key words:  Video-assisted thoracic surgery  Enhanced recovery after surgery  Lung bullae  Interstitial lung disease  Palmar hyperhidrosis  Mediastinal tumor