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
|
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。
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 videoassisted 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.
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 videoassisted 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.
引文
1 Blanchet MC,Frering V,Gignoux B,et al.Four-Year Evolution of a Thrombophylaxis Protocol in an Enhanced Recovery After Surgery(ERAS)Program:Recent Results in 485 Patients[J].Obes Surg,2018,28(7):2140-2144.
2 Xia Z,Qiao K,He J.Recent advances in the management of pulmonary tuberculoma with focus on the use of tubeless video-assisted thoracoscopic surgery[J].J Thorac Dis,2017,9(9):3307-3312.
3 Gonzalez-Rivas D,Yang Y,Guido W,et al.Non-intubated(tubeless)uniportal video-assisted thoracoscopic lobectomy[J].Ann Cardiothorac Surg,2016,5(2):151-153.
4 Li S,Jiang L,Ang KL,et al.New tubeless video-assisted thoracoscopic surgery for small pulmonary nodules[J].Eur J Cardiothorac Surg,2017,51(4):689-693.
5 Cui F,Liu J,Li S,et al.Tubeless video-assisted thoracoscopic surgery(VATS)under non-intubated,intravenous anesthesia with spontaneous ventilation and no placement of chest tube postoperatively[J].J Thorac Dis,2016,8(8):2226-2232.
6张满,靳智勇,马英,等.自主呼吸麻醉结合单孔非置管胸腔镜技术在肺大疱切除术中应用的随机对照试验[J].中国胸心血管外科临床杂志,2018,25(3):218-221.
7 Peng G,Liu M,Luo Q,et al.Spontaneous ventilation anesthesia combined with uniportal and tubeless thoracoscopic lung biopsy in selected patients with interstitial lung diseases[J].J Thorac Dis,2017,9(11):4494-4501.
8 Pompeo E,Mineo TC.Awake operative videothoracoscopic pulmonary resections[J].Thorac Surg Clin,2008,18(3):311-320.
9 Gonzalez-Rivas D.Recent advances in uniportal video-assisted thoracoscopic surgery[J].Chin J Cancer Res,2015,27(1):90-93.
10 EISaegh MMM,Ismail NA,Mydin MI,et al.Subxiphoid uniportal lobectomy[J].J Vis Surg,2017,3:24.
11 Elia S,Guggino G,Mineo D,et al.Awake one stage bilateral thoracoscopic sympathectomy for palmar hyperhidrosis:a safe outpatient procedure[J].Eur J Cardiothorac Surg,2005,28(2):312-317.
12周一凡,钟永泷,林辉,等.经剑突入路胸腔镜胸腺扩大切除治疗重症肌无力的临床分析[J].中国胸心血管外科临床杂志,2017,24(4):318-320.
13张进,杨鲲鹏,王旭广,等.胸腺切除术后不放置胸腔及纵隔引流可行性的研究[J].中国现代手术学杂志,2012,16(2):112-114.
14 Campos JH.Progress in lung separation[J].Thorac Surg Clin,2005,15(1):71-83.
15 Fitzmaurice BG,Brodsky JB.Airway rupture from double-lumen tubes[J].J Cardiothorac Vasc Anesth,1999,13(3):322-329.
16 Gothard J.Lung injury after thoracic surgery and one-lung ventilation[J].Curr Opin Anaesthesiol,2006,19(1):5-10.
17 Murphy GS,Szokol JW,Avram MJ,et al.Postoperative residual neuromuscular blockade is associated with impaired clinical recovery[J].Anesth Analg,2013,117(1):133-141.
18 Gonzalez-Rivas D,Bonome C,Fieira E,et al.Non-intubated videoassisted thoracoscopic lung resections:the future of thoracic surgery?[J].Eur J Cardiothorac Surg,2016,49(3):721-731.
19蔡开灿,王向东,叶靖,等.喉罩全麻与气管插管全麻胸腔镜手术治疗肺大疱的临床对照研究[J].南方医科大学学报,2013,33(5):756-760.
20 Liu J,Cui F,Li S,et al.Nonintubated video-assisted thoracoscopic surgery under epidural anesthesia compared with conventional anesthetic option:a randomized control study[J].Surg Innov,2015,22(2):123-130.
21 Tacconi F,Pompeo E,Sellitri F,et al.Surgical stress hormones response is reduced after awake videothoracoscopy[J].Interact Cardiovasc Thorac Surg,2010,10(5):666-671.
22 Boisen ML,Rao VK,Kolarczyk L,et al.The Year in Thoracic Anesthesia:Selected Highlights from 2016[J].J Cardiothorac Vasc Anesth,2017,31(3):791-799.
23陈磊,董庆龙.自主呼吸下全凭静脉麻醉在胸腔镜手术围手术期血流动力学变化的观察[J].广州医科大学学报,2016,44(2):45-48.
24车国卫,刘伦旭.单孔电视胸腔镜手术临床应用的现状与进展[J].中国胸心血管外科临床杂志,2012,19(2):181-184.
25由兆磊.单孔胸腔镜与传统三孔腔镜手术治疗自发性气胸疗效比较的Meta分析[D].乌鲁木齐:新疆医科大学,2016.
26 Feneley RC,Hopley IB,Wells PN.Urinary catheters:history,current status,adverse events and research agenda[J].J Med Eng Technol,2015,39(8):459-470.
27 Watanabe A,Watanabe T,Ohsawa H,et al.Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung[J].Eur J Cardiothorac Surg,2004,25(5):872-876.
28 Petersen RH,Holbek BL,Hansen HJ,et al.Video-assisted thoracoscopic surgery-taking a step into the future[J].Eur J Cardiothorac Surg,2017,51(4):694-695.
2 Xia Z,Qiao K,He J.Recent advances in the management of pulmonary tuberculoma with focus on the use of tubeless video-assisted thoracoscopic surgery[J].J Thorac Dis,2017,9(9):3307-3312.
3 Gonzalez-Rivas D,Yang Y,Guido W,et al.Non-intubated(tubeless)uniportal video-assisted thoracoscopic lobectomy[J].Ann Cardiothorac Surg,2016,5(2):151-153.
4 Li S,Jiang L,Ang KL,et al.New tubeless video-assisted thoracoscopic surgery for small pulmonary nodules[J].Eur J Cardiothorac Surg,2017,51(4):689-693.
5 Cui F,Liu J,Li S,et al.Tubeless video-assisted thoracoscopic surgery(VATS)under non-intubated,intravenous anesthesia with spontaneous ventilation and no placement of chest tube postoperatively[J].J Thorac Dis,2016,8(8):2226-2232.
6张满,靳智勇,马英,等.自主呼吸麻醉结合单孔非置管胸腔镜技术在肺大疱切除术中应用的随机对照试验[J].中国胸心血管外科临床杂志,2018,25(3):218-221.
7 Peng G,Liu M,Luo Q,et al.Spontaneous ventilation anesthesia combined with uniportal and tubeless thoracoscopic lung biopsy in selected patients with interstitial lung diseases[J].J Thorac Dis,2017,9(11):4494-4501.
8 Pompeo E,Mineo TC.Awake operative videothoracoscopic pulmonary resections[J].Thorac Surg Clin,2008,18(3):311-320.
9 Gonzalez-Rivas D.Recent advances in uniportal video-assisted thoracoscopic surgery[J].Chin J Cancer Res,2015,27(1):90-93.
10 EISaegh MMM,Ismail NA,Mydin MI,et al.Subxiphoid uniportal lobectomy[J].J Vis Surg,2017,3:24.
11 Elia S,Guggino G,Mineo D,et al.Awake one stage bilateral thoracoscopic sympathectomy for palmar hyperhidrosis:a safe outpatient procedure[J].Eur J Cardiothorac Surg,2005,28(2):312-317.
12周一凡,钟永泷,林辉,等.经剑突入路胸腔镜胸腺扩大切除治疗重症肌无力的临床分析[J].中国胸心血管外科临床杂志,2017,24(4):318-320.
13张进,杨鲲鹏,王旭广,等.胸腺切除术后不放置胸腔及纵隔引流可行性的研究[J].中国现代手术学杂志,2012,16(2):112-114.
14 Campos JH.Progress in lung separation[J].Thorac Surg Clin,2005,15(1):71-83.
15 Fitzmaurice BG,Brodsky JB.Airway rupture from double-lumen tubes[J].J Cardiothorac Vasc Anesth,1999,13(3):322-329.
16 Gothard J.Lung injury after thoracic surgery and one-lung ventilation[J].Curr Opin Anaesthesiol,2006,19(1):5-10.
17 Murphy GS,Szokol JW,Avram MJ,et al.Postoperative residual neuromuscular blockade is associated with impaired clinical recovery[J].Anesth Analg,2013,117(1):133-141.
18 Gonzalez-Rivas D,Bonome C,Fieira E,et al.Non-intubated videoassisted thoracoscopic lung resections:the future of thoracic surgery?[J].Eur J Cardiothorac Surg,2016,49(3):721-731.
19蔡开灿,王向东,叶靖,等.喉罩全麻与气管插管全麻胸腔镜手术治疗肺大疱的临床对照研究[J].南方医科大学学报,2013,33(5):756-760.
20 Liu J,Cui F,Li S,et al.Nonintubated video-assisted thoracoscopic surgery under epidural anesthesia compared with conventional anesthetic option:a randomized control study[J].Surg Innov,2015,22(2):123-130.
21 Tacconi F,Pompeo E,Sellitri F,et al.Surgical stress hormones response is reduced after awake videothoracoscopy[J].Interact Cardiovasc Thorac Surg,2010,10(5):666-671.
22 Boisen ML,Rao VK,Kolarczyk L,et al.The Year in Thoracic Anesthesia:Selected Highlights from 2016[J].J Cardiothorac Vasc Anesth,2017,31(3):791-799.
23陈磊,董庆龙.自主呼吸下全凭静脉麻醉在胸腔镜手术围手术期血流动力学变化的观察[J].广州医科大学学报,2016,44(2):45-48.
24车国卫,刘伦旭.单孔电视胸腔镜手术临床应用的现状与进展[J].中国胸心血管外科临床杂志,2012,19(2):181-184.
25由兆磊.单孔胸腔镜与传统三孔腔镜手术治疗自发性气胸疗效比较的Meta分析[D].乌鲁木齐:新疆医科大学,2016.
26 Feneley RC,Hopley IB,Wells PN.Urinary catheters:history,current status,adverse events and research agenda[J].J Med Eng Technol,2015,39(8):459-470.
27 Watanabe A,Watanabe T,Ohsawa H,et al.Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung[J].Eur J Cardiothorac Surg,2004,25(5):872-876.
28 Petersen RH,Holbek BL,Hansen HJ,et al.Video-assisted thoracoscopic surgery-taking a step into the future[J].Eur J Cardiothorac Surg,2017,51(4):694-695.