肺叶切除术的手术步骤是什么 陈钢 山西省肿瘤医院 скачать в хорошем качестве

肺叶切除术的手术步骤是什么 陈钢 山西省肿瘤医院

肺叶切除术的手术步骤是什么 陈钢 山西省肿瘤医院 以前以开放手术为主，就是开刀从肋骨之间开刀，可能要开到二十公分以上的切口，后来也发展随着技术的进步，微创理念的推广发展到胸腔镜，一开始胸腔镜是做三孔，到后来的两孔，到现在的单孔，那么做肺叶切除以单孔为主，我们操作时主要是面对电视屏幕，然后在孔道内把观察镜子和手术器械，从一个孔当中进行操作，那么根据肺叶的解剖关系尽可能的做解剖性的肺叶切除，那么就是说把三大件要尽可能在肺根部游离出来，比如：气管、动脉、静脉，包括发育不全的肺类，这个都要把它做精细的游离、裸化，包括把周围的淋巴结，尽可能的清扫，然后进行解剖性切除。 What is the procedure of lobectomy In the past, open surgery was the main method, It's a cut between the ribs, It may have to be cut to more than 20 centimeters, Later, with the development of technology, The promotion of minimally invasive concept has developed to thoracoscopy, At first, VATS were made of three holes, To the next two holes, To the present single hole, Then lobectomy is mainly performed with a single orifice, When we operate, we mainly face the TV screen, Then put the observation mirror and surgical instrument in the hole, Operate from a hole, Then according to the anatomical relationship of the lobes, we should do the anatomical lobectomy as much as possible, That is to say, the three parts should be free at the root of the lung as much as possible, For example: trachea, artery, vein, Including the underdeveloped lungs, It should be refined, free and naked, Including the surrounding lymph nodes, Clean as much as possible, Then the dissection was performed.