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首页> 外文期刊>Journal of Thoracic Disease >Video-assisted thoracoscopic right lower lobectomy: the Tianjin Chest Hospital experience
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Video-assisted thoracoscopic right lower lobectomy: the Tianjin Chest Hospital experience

机译：电视胸腔镜右下叶切除术：天津胸科医院的体会

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Video-assisted thoracoscopic surgery (VATS) is now well established as an alternative to open thoracotomy for major pulmonary resections of bronchogenic carcinoma and benign disease. More than 900 VATS major pulmonary resections have been performed in our center over the last 5 years and we here describe our method for VATS right lower lobectomy. In our center, procedures is performed with 3 incisions. For right lower lobes, the patient is placed into the left lateral position. The inferior pulmonary vein is dissected and divided with an endoscopic vascular stapler. The pulmonary artery branches to right lower lobe are divided with endoscopic staplers, and the lower lobe bronchus is divided at last. Throughout the procedure, hilar and mediastinal lymph nodes are dissected and removed in NSCLC. According to our experience, VATS is safe and feasible in thoracotomy for major pulmonary resections.
机译：电视辅助胸腔镜手术（VATS）现已被广泛确立为开放式胸廓切开术的替代方法，可用于支气管癌和良性疾病的主要肺部切除术。在过去的5年中，我们中心已进行了900多次VATS重大肺切除术，在此我们描述了VATS右下叶切除术的方法。在我们中心，手术是通过3个切口进行的。对于右下叶，将患者置于左侧卧位。解剖下肺静脉并用内窥镜血管吻合器分开。用内窥镜缝合器将右下叶的肺动脉分支分开，最后将下叶支气管分开。在整个过程中，在NSCLC中解剖并清除了肺门和纵隔淋巴结。根据我们的经验，VATS在开胸手术中进行大范围肺切除术是安全可行的。

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