胸腔镜技术已有悠久的历史,早在1910年,Jacobaeus就在局麻下采用膀胱镜检查病人的胸膜腔,并分离结核所引致的胸膜粘连,但由于科技条件的限制,胸腔镜技术没有突破性的发展,多采用支气管镜或纵隔镜进行胸膜疾病的诊断,直到80年代,随着科技的进步,电视显像系统,微型摄像系统,冷光源及导光纤维束等引入到胸腔镜技术中,使原来只能由术者单独观察的“管状”视野在电视监视器上显示出来,使手术视野更为开阔,手术助手也能从电视屏幕上观察到胸腔内情况,从而能更好地配合手术,摄像系统的不断改进使图像更为清晰,而且放大了的图像对胸内细微结构的观察比肉眼所见更为精细,同时胸腔镜手术的器械亦不断地发明更新与改进,使在胸腔镜 Thoracoscopy has a long history. As early as 1910, Jacobaeus used cystoscopy to examine the patient’s pleural space under local anesthesia and isolated the pleural adhesions caused by tuberculosis. However, there was no breakthrough in thoracoscopic technique because of the limitation of technological conditions Sexual development, the use of bronchoscopy or mediastinoscopy for the diagnosis of pleural disease, until the 80s, with advances in science and technology, television imaging system, miniature camera system, cold light source and the introduction of light guide fiber optic thoracoscopy and other techniques , So that the original can only be observed by the surgeon alone “tubular” field of vision on the TV monitor display, the surgical field of vision is more open, the surgical assistant can also be observed from the TV screen chest situation, which can better meet Surgery, continuous improvement of the camera system to make the image more clearly, and the enlarged image of the fine structure of the chest was seen more subtle than the naked eye, while the thoracoscopic surgery equipment has also been updated and improved, so that in the chest mirror