CAJ | 학술논문

1910年,腹腔镜首次被应用于进行胸腔粘连烙断术,以解决肺结核空洞患者的胸膜粘连问题,从而开创了胸腔镜手术的先河.但在1945年以来,随着链霉素、雷米封等抗结核药的合成和临床应用,胸腔镜外科逐渐淡出了临床.20世纪80年代,电视腹腔镜成功地进行了胆囊切除,为电视胸腔镜的发展奠定了基础.1986年,微型内镜摄像技术被应用于胸腔镜.20世纪90年代,电视辅助胸腔镜手术渐次应用于多种疾病的诊断和治疗,例如手汗症、胸膜疾病、肺脏疾病、食管疾病、心脏外科等.随着电视辅助胸腔镜外科的不断发展,其应用范围也越来越广,在一些医学中心,胸腔镜手术已占到了胸外科手术的80％以上.
1910년,복강경수차피응용우진행흉강점련락단술,이해결폐결핵공동환자적흉막점련문제,종이개창료흉강경수술적선하.단재1945년이래,수착련매소、뢰미봉등항결핵약적합성화림상응용,흉강경외과축점담출료림상.20세기80년대,전시복강경성공지진행료담낭절제,위전시흉강경적발전전정료기출.1986년,미형내경섭상기술피응용우흉강경.20세기90년대,전시보조흉강경수술점차응용우다충질병적진단화치료,례여수한증、흉막질병、폐장질병、식관질병、심장외과등.수착전시보조흉강경외과적불단발전,기응용범위야월래월엄,재일사의학중심,흉강경수술이점도료흉외과수술적80％이상.
In 1910,laparoscopy was applied in the cautery division of pleural adhesions for the first time for cavity pulmonary tuberculosis patients,which was the beginning of thoracoscopic surgery.After 1945,with the introduction of antituberculosis drugs like streptomycin and isoniazid,thoracoscopic surgery faded out.In the 1980s,success of video-assisted laparoscopic surgery in cholecystectomy created a basis for thoracoscopic surgery (VATS).In 1986,micro endoscopic technique was applied in thoracoscopy.In the 1990s,VATS was used in diagnosis and treatment of many kinds of diseases,such as palmar hyperhidrosis,pleural diseases,lung diseases,esophageal diseases and cardiac surgery.With the development of VATS,its application range became wider and wider.In some medical centers,VATS represents 80％ of thoracic surgeries.