What is thoracoscopic surgery?
Let me first talk about what is minimally invasive, which is a relative concept. As long as the technology can reduce the trauma of the patient and promote rapid recovery, it is a minimally invasive technology. Minimally invasive surgery for lung cancer mainly refers to thoracoscopic surgery.
A thoracoscopy is actually a surgical instrument, an endoscope operating system applied to the thoracic cavity, and a thoracoscopic surgery refers to a minimally invasive surgery performed with a thoracoscopy.
Thoracoscopy is known as one of the major breakthroughs in thoracic surgery in the last century, and it is a representative operation of minimally invasive thoracic surgery. Thoracoscopic surgery (video assisted thoracoscopic surgery) is a new minimally invasive thoracic surgery technology that uses modern video camera technology and high-tech surgical equipment to complete complex operations in the chest under a chest wall cannula or a small incision. It has changed some thoracic surgery The concept of disease treatment is considered to be the most significant advancement in thoracic surgery at the end of the 20th century, and is the future direction of thoracic surgery.
1. Diagnostic surgical indications: It can be used in the diagnosis of a variety of chest diseases including pleura, lung, mediastinum, pericardial diseases, and chest trauma. It can clearly and comprehensively observe the situation in the thoracic cavity, can take pictures and videos, and can obtain enough tissue for pathological examination.
2. Indications for therapeutic surgery: ①Pleural diseases: spontaneous pneumothorax, hemothorax, empyema, chylothorax, pleural effusion caused by pleural tumors, etc. ② Lung diseases: resection of benign lung masses, radical treatment of lung cancer, lung volume reduction of terminal emphysema. ③ Esophageal diseases: esophageal leiomyoma, esophageal diverticulum, achalasia, esophageal cancer. ④ Mediastinal diseases: thymus and other mediastinal tumors, mediastinal cysts, etc. ⑤ Others: hand sweat, chylothorax, cardiopulmonary trauma, thoracic deformity, etc.