Minimally invasive lung surgery refers to pulmonary thoracoscopic surgery, in which surgical operations on the lungs are accomplished with the assistance of television image monitoring. The surgical procedure includes designing the incision, finding the lesion site, and removing the lesion. The specific operations are as follows:
1. After successful general anesthesia, choose double-lumen or single-lumen endotracheal intubation according to the surgical situation, so that the lung tissue on the affected side is in a gas-free state, and design 1~3 incisions of about 1~3cm in the chest wall of the affected side, replacing the 20~30cm incision of traditional open thoracic surgery under direct vision.
2. Establish an operation channel with a special puncture device, put in the thoracoscopic lens, explore the lung tissue in the thoracic cavity and the relationship between the lungs and the surrounding area, and find the lesion.
3. According to the relationship between the lesion and the surrounding under thoracoscopy, combined with the preoperative imaging examination, the lung wedge resection is selected. Thoracoscopic wedge resection of the lesion under direct visualization with an anastomosis, or the choice of segmental resection or lobectomy or total pneumonectomy.
Before resection of the lesion, the large blood vessels and airways supplying blood to the diseased lung tissue should be clearly separated and cut off, and then the diseased lung tissue should be resected, and the lymph nodes should be cleared if necessary. After resection of the lung tissue, the chest cavity should be irrigated, and the affected lung should be inflated to make sure that there is no air leakage from the anastomosis. The incision is sutured and the diseased tissue is sent for pathology.
Minimally invasive lung surgery is less invasive, safe, and quicker recovery. Specific surgical practices need to be decided by the clinician according to the specific lesion, and it is recommended to consult with the thoracic surgery department of the hospital.