At present, the minimally invasive thoracoscopic treatment technology for lung cancer is mature and effective, which is applicable to most lung cancer patients. Zhao Bo, Department of Thoracic Surgery, Wuhan Tongji Hospital
Surgery is the first choice and the most important treatment means for lung cancer treatment. Lung cancer surgery is moving toward minimally invasive to minimize patients’ pain, and using TV thoracoscopic minimally invasive surgery technology to treat lung cancer has become a mature and routine treatment method. Minimally invasive surgery is to make several small holes of about 1.5cm in length in the chest, send camera lens and micro surgical instruments into the chest through the small holes respectively, easily find the location of the lesion under the TV screen, perform surgery on the lesion and completely remove all the diseased tissues to achieve the purpose of radical surgery, and the wound only needs to be closed with absorbable sutures or put on a band-aid, which is a new thoracic surgery method. This is a new thoracic surgery method, TV thoracoscopic minimally invasive treatment technique.
I. Advantages of minimally invasive thoracoscopic surgery for lung cancer
The advantages of thoracoscopic surgery are very prominent. Thoracoscopic surgery is less traumatic to the patient, faster recovery, better surgical effect and shorter hospitalization time. In a word, it is safe, simple and effective.
1, small trauma: thoracoscopic surgery incision is only about 1.5 cm, so the surgery is small trauma, compared with the conventional surgery 30 cm incision can significantly reduce the patient’s pain and surgical danger; small trauma, the relative chance of infection is also less; thoracoscopic small incision surgery for the patient’s postoperative lung function damage is small, can maintain and improve the quality of life of patients.
2, light pain: the small incision avoids the pulling open of the ribs and does not cut off the ribs, which reduces the pressure on the nerves and avoids the friction of the broken ends of the ribs, so the postoperative pain of patients is significantly reduced compared with the traditional incision.
3.Fast recovery: Because the small incision does not cut off the large muscles of the chest, does not cut off or open the ribs, and does not pull the scapula, the muscles and bones of the locomotor system are not traumatized, and the function of shoulder joint activities is little affected and recovery is fast.
4.Aesthetic incision: It is especially important for the beauty lovers, that is, the incision will not be so obvious because it is too big.
Comparison between minimally invasive surgery and traditional surgery
Minimally invasive surgery for lung cancer can achieve the same effect as open-heart surgery, or even better. The TV display during the operation greatly increases the “vision”, “field of view” and “line of sight” of the surgeon, so that the lesion can be clearly seen. The TV display during the operation greatly increases the surgeon’s “vision”, “field of view” and “line of sight”, so that the lesion can be clearly displayed on the TV and histopathological examination can be obtained, which makes the operation more accurate and the quality of the operation higher.
III. Which patients are suitable for minimally invasive surgery
With the accumulation of experience and advancement of technology, the current scope of minimally invasive surgery is getting wider and wider, in fact it is suitable for most lung tumor patients.
1. It has been the consensus and common practice of domestic and foreign thoracoscopic experts to give priority to thoracoscopic surgery for all early-stage lung cancer.
2.Most patients with mid-stage lung cancer can be completely and radically resected under minimally invasive thoracoscopic surgery.
3.Some advanced lung cancers are also within the scope of indications.
4.Surgical resection of metastatic lung cancer.
5.Almost all benign lung tumors.
6.Minimally invasive surgical treatment is of great significance, especially for the elderly and patients with poor lung function who can hardly accept traditional open-heart surgery.
IV. Advantages and strengths of our minimally invasive treatment
Traditional open-heart surgery is in fact a reflection of the comprehensive strength of a hospital, while thoracoscopic minimally invasive surgery has higher requirements for thoracic surgeons and the anesthesia and equipment of the hospital. Therefore, at present, minimally invasive thoracoscopic surgery is mostly concentrated in large hospitals with high level. Our department takes the lead in carrying out minimally invasive thoracoscopic surgery in China, especially in Hubei Province. At present, the annual volume of thoracic surgery in our department exceeds 2,000, including more than 600 minimally invasive thoracoscopic surgeries, and we are able to complete various types of lung tumor surgeries, which has accumulated considerable experience and is at the leading level in China, with satisfactory surgical results and low complication rate.