Minimally invasive, safe and tumor-free are the main principles of the choice of surgical incision in lung cancer surgery. In recent years, with the advances in minimally invasive techniques, single-port video assisted thoracic surgery (VATS), robot-assisted thoracoscopic (RATS), suboxiphoid single-port VATS, simultaneous bilateral VATS pulmonary resection, are emerging approaches, single-port VATS has become one of the most exciting new developments in minimally invasive thoracic surgery in recent years. This paper reviews the evolution and trends of surgical incision in lung cancer surgery.
微创、安全以及无瘤原则，是影响肺癌外科手术切口选择的最重要因素。近年来，随着微创技术的进步，逐步出现了单操作孔电视辅助胸腔镜手术（video-assisted thoracic surgery, VATS）、单孔VATS、机器人辅助胸腔镜切除术（robotic-assisted thoracoscopic resection, RATS）、剑突下单孔VATS、双侧同期VATS肺切除术、跨纵隔单侧进胸双侧肺切除术等新兴入路，特别是单孔VATS，目前在国内外开展已呈燎原之势。本文回顾了肺癌手术切口演变趋势，并对近年来，肺癌外科手术切口的发展趋势予以总结。.