论文部分内容阅读
自1993年首次报道电视胸腔镜手术用于小儿胸外科后,目前以电视胸腔镜手术为标志的微创手术在小儿胸外科的报道已越来越多,其使用范围、疾病种类、年龄等手术适应证逐渐扩大,最初主要用于诊断性探查的胸腔镜技术现在已可用于小儿胸外科疾病的治疗,而治疗漏斗胸的微创漏斗胸矫治手术是近年来小儿胸外科方面最具代表性的。技术的继续完善和器械的进步将会进一步扩大微创手术在小儿心胸外科的适应证和效果改善。但必须强调使用腔镜不等于微创,微创才是目的,尤其是现在进一步提出了精准手术的概念,从而使大家达成基本共识,使用腔镜只是手段,应为了微创和精准的目的而决定手术是否需要使用腔镜,不能仅为了腔镜而使用腔镜,且应由经过严格训练、有资质医师施行手术,才能保证安全和效果。
Since 1993, the first report of video-assisted thoracoscopic surgery for pediatric thoracic surgery, the current minimally invasive surgery marked by video-assisted thoracoscopic surgery in pediatric thoracic surgery has been reported more and more, its scope of use, disease types, age and other surgery Indications gradually expanded, initially mainly used for diagnostic exploration of thoracoscopic technique is now available for the treatment of pediatric thoracic surgery, and funneling the chest minimally invasive funnel chest orthopedic surgery in pediatric thoracic surgery in recent years the most representative . Continued improvement of technology and advances in equipment will further expand the indications and effects of minimally invasive surgery in pediatric cardiothoracic surgery. However, it must be emphasized that the use of endoscopy is not equal to minimally invasive, minimally invasive is the purpose, especially now that the concept of precision surgery is further proposed, so that we can reach a basic consensus that the use of endoscopy is only a means for minimally invasive and precise purposes Determine whether the need to use surgical endoscopic surgery, endoscopy can not be used only for endoscopic, and should be strictly trained, qualified physicians to perform surgery in order to ensure safety and effectiveness.