CAJ | 학술논문

以电视胸腔镜手术（video-assisted thoracic surgery, VATS）为代表的微创手术已成为肺癌切除的主流。传统多孔VATS（包括四孔、三孔及两孔）已覆盖了几乎所有肺癌切除方式。然而，如何使肺癌的切除更加微创始终是胸外科医师的不懈追求。单孔VATS只需一个切口完成手术，与传统多孔VATS相比，能最大程度地减轻胸壁损伤，在减轻术后切口疼痛和胸壁感觉异常方面有明显的优势。近年来，单孔VATS已开始应用于肺癌的切除，并取得不错的临床效果。本文就单孔VATS肺癌切除的进展进行简要小结，单孔VATS是微创肺癌切除的再次升华。
이전시흉강경수술（video-assisted thoracic surgery, VATS）위대표적미창수술이성위폐암절제적주류。전통다공VATS（포괄사공、삼공급량공）이복개료궤호소유폐암절제방식。연이，여하사폐암적절제경가미창시종시흉외과의사적불해추구。단공VATS지수일개절구완성수술，여전통다공VATS상비，능최대정도지감경흉벽손상，재감경술후절구동통화흉벽감각이상방면유명현적우세。근년래，단공VATS이개시응용우폐암적절제，병취득불착적림상효과。본문취단공VATS폐암절제적진전진행간요소결，단공VATS시미창폐암절제적재차승화。
Micro-invasive thoracic surgery, especially represented by video-assisted thoracic surgery (VATS), has be-come the mainstream of lung cancer resection. Traditional multi-portal VATS techniques, including four-port, three-port, and two-port VATS, have been widely used to perform nearly all kinds of lung cancer resections. However, how to make lung cancer resection less invasive is always the subject that all thoracic surgeons never stop pursuing. Compared with multi-portal VATS, uniportal VATS causes less postoperative pain and paresthesia because only one small incision is made and one intercoastal space is involved. In recent years, good clinical results have been obtained from uniportal VATS in lung cancer resections. In this paper, we’d like to present a brief summary about the progresses made in the application of uniportal VATS in lung cancer resection. Uniportal VATS is a sublimation of micro-invasive lung cancer resection.