胸腔鏡手術在肺癌治療之角色

The Role of VATS in Lung Cancer Surgery

劉會平(Hui-Ping Liu)

《中華民國癌症醫學會雜誌》 24卷6期 (2008/12) Pp. 343-346

https://doi.org/10.6588/JCOS.2008.24.6.1

摘要

胸腔鏡手術在過去十幾年期間被廣泛應用到各種複雜胸外科手術上而免除了病人傳統開胸手術的痛苦。初期胸腔鏡手術用在肺癌手術上卻極為少見。近年來由於設備器械等的改進，技術的純熟及經驗的增多使胸腔鏡手術在臨床肺癌診斷與治療上也逐漸扮演重要角色。目前胸腔鏡肺癌肺葉切除在熟練的手術者手中被認為是一種安全的手術。與傳統的開胸手術相比較，微創胸腔鏡手術不僅對組織和器官損傷最小，對術後疼痛及心肺功能也是影響最小。此外胸腔鏡肺癌切除術在與傳統的開胸手術相比，其中、長期存活率部份也毫不遜色。因此我們預期在未來隨著新技術的不斷改進，胸腔鏡手術應用在臨床肺癌患者也將會扮演更加重要角色。

關鍵字

胸腔鏡手術 ； 肺癌

並列摘要

Over the past decade, the use of Video-assisted thoracic surgery (VATS) has become widespread and has allowed surgeons to perform complex procedures that avoid long thoracotomy. However, despite demonstration of its technical feasibility, the application of VATS for lung cancer has remained infrequent. With the development of new instruments and surgeons gaining more experiences, VATS in the management of lung cancer is now being used from diagnosis to treatment, especially VATS major lung resection has been shown to be a safe operation in experienced hands. When compared with traditional open thoracotomy, VATS has reduced the degree of post-operative chest wall trauma, pain and less pulmonary function disturbance. Intermediate to long-term survival for lung cancer patients who underwent VATS resection appears similar to open surgery. We anticipated that, in near future, with the continue advancements in new technologies, VATS will become more mature and will significantly play an important role in patients with lung cancer.

並列關鍵字

VATS ； Lung cancer