• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >State of the art in thoracospic surgery: a personal experience of 2000 videothoracoscopic procedures and an overview of the literature.
【24h】

State of the art in thoracospic surgery: a personal experience of 2000 videothoracoscopic procedures and an overview of the literature.

机译：胸腔镜手术的最新技术：2000例胸腔镜手术的个人经验和文献综述。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Herein we compare our personal experience with a series of > 2000 videothoracoscopic procedures with those reported in the literature to identify the procedures now accepted as the gold standard, those still regarded as investigational, and those considered unacceptable. METHODS: Between June 1991 and December 2000, we performed 2068 videothoracoscopic procedures, including lung cancer staging (n = 910), wedge resections (n = 261), lobectomies (n = 221), pneumonectomies (n = 6), the diagnosis and treatment of pleural diseases (n = 200), the treatment of pneumothorax (n = 170), giant bullae (n = 57), lung volume reduction surgery (LVRS) for emphysema (n = 41), the diagnosis and treatment of mediastinal diseases (n = 133), the treatment of esophageal diseases (n = 39), and 30 other miscellaneous procedures. RESULTS: A review of the literature indicates that videothoracoscopy is usually considered the preferred approach for the treatment of spontaneous pneumothorax, the diagnosis of indeterminate pleural effusions, the treatment of malignant pleural effusions, sympathectomy, and the diagnosis and treatment of benign esophageal or mediastinal diseases. The videoendoscopic approach to LVRS for emphysema is still under evaluation. Videothoracoscopic wedge resections for the diagnosis of indeterminate nodules and the treatment of primary lung cancer, metastases, and other malignancies are still controversial due to oncologic concerns. Videoendoscopic major pulmonary resections are usually considered investigational or even unacceptable due to oncologic concerns, technical difficulties, and the risk of complications. CONCLUSIONS: Although we generally agree with the foregoing recommendations, we consider videoendoscopy the best approach for LVRS and particularly useful for the staging of lung cancer, where we always perform it as the first step of the operation. We widely perform videoendoscopic major pulmonary resections, but we believe that these procedures should only be used in strictly selected cases and at specialized centers.
机译：背景：在本文中，我们将我们的个人经历与一系列> 2000例视频胸腔镜手术程序进行比较，并与文献报道的程序进行比较，以识别出目前公认​​的金标准程序，那些仍被视为研究标准的程序以及那些被认为不可接受的程序。方法：1991年6月至2000年12月，我们进行了2068例胸腔镜电镜手术，包括肺癌分期（n = 910），楔形切除（n = 261），肺叶切除（n = 221），肺切除（n = 6），诊断和胸膜疾病的治疗（n = 200），气胸的治疗（n = 170），巨型大疱（n = 57），肺气肿的肺减容术（LVRS）（n = 41），纵隔疾病的诊断和治疗（n = 133），食道疾病的治疗（n = 39）和其他30种其他程序。结果：文献综述表明，胸腔镜通常被认为是自发性气胸，不确定性胸腔积液，恶性胸腔积液，交感神经切除术以及良性食道或纵隔疾病的诊断和治疗的首选方法。 。用于气肿的LVRS的视频内镜方法仍在评估中。由于肿瘤学的考虑，用于诊断不确定结节以及治疗原发性肺癌，转移瘤和其他恶性肿瘤的电视胸腔镜楔形切除术仍存在争议。由于内科的关注，技术上的困难以及并发症的风险，通常将视频内窥镜大肺切除术视为研究性的甚至是不能接受的。结论：尽管我们总体上同意上述建议，但我们认为视频内窥镜检查是LVRS的最佳方法，对于肺癌分期特别有用，因为我们始终将其作为手术的第一步。我们广泛进行视频内窥镜下主要肺切除术，但我们认为这些程序仅应在严格选择的情况下和在专门的中心使用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号