影像輔助式胸腔鏡手術

影像輔助式胸腔鏡手術(VATS)

Video Assisted Thoracoscopic Surgery影像輔助式胸腔鏡手術, often referred to as VATS縮寫VATS, is performed using a small video camera that is introduced into the patient's chest via a scope.是使用從病患胸腔切口插入一薄管狀內含一針孔攝機儀器進入胸腔內 With the video camera, the surgeon is able to view the anatomy along with other surgical instruments that are introduced into the chest via small incisions or "ports".從病患胸腔幾個切口插入的薄管狀針孔攝機及薄管狀外科器械可讓外科醫生透過影像監控器來檢查您胸腔內的臟器.

Traditional surgical approaches have utilized a single large incision (cut) that is placed between the patient's ribs. The ribs are then spread apart, allowing the surgeon to look directly into the patient's chest. The surgery is then performed via this single large opening.These incisions are known as thoracotomies, and while very safe, are uncomfortable. By utilizing VATS, this large incision is avoided, thereby sparing the patient some of the post-operative pain and assisting them with a potentially quicker recovery.傳統的切開肋骨的開膛剖胸大開放傷口,才能讓外科醫生直接目視檢查您胸腔內的臟器,讓病患相當不舒服,利用小切口的影像輔助式胸腔鏡手術,可減輕病患手術後的疼痛及小切口較快速康復!

In this video, the surgeon uses small instruments that have been introduced into the patient'schest via small (1/2-inch) ports. The surgeon views a video screen that shows the camera image.本影使用小薄導管針孔攝機及小薄導管外科器械從病患胸腔(1/2吋=1.25公分)切口插入,讓外科醫生透過影像監控器來檢查您胸腔內的臟器.
There are 4 parts to this video:本影片分4片段:

In Part 1, the surgeon is "exploring" the chest using VATS technology. The device that looks like a fan is used to move the lung around.片段一:外科醫生執行影像輔助式胸腔鏡手術,扇形外科器械用來撥開肺葉檢查.


In Part 2, the patient has recurrent collection of fluid in the chest secondary to a cancer, which is referred to as a "malignant pleural effusion". In the video, you see the surgeon sucking out the fluid. The white flashing light is actually sterile talcum powder being introduced into the chest. The talcum powder causes the lung to adhere to the chest wall, hopefully not allowing fluid to collect in this space.片段二:患者因癌症而引發惡性肋膜積水,故定期做肋膜抽水。在影片您會看到外科醫生做肋膜抽水.白色閃光燈其實是以導管導入胸膛消過毒的滑石粉,滑石粉會造成肺沾粘胸壁，及不希望在這空間抽到肋膜水。
In Part 3, the surgeon is sampling a lymph node from the lung to get a biopsy, to see if cancer has spread to the lymph nodes.片段三:外科醫生以外科器械導管從患者肺部採集淋巴結活體做切

In Part 3, the surgeon is sampling a lymph node from the lung to get a biopsy, to see if cancer has spread to the lymph nodes.片段三:外科醫生以外科器械導管從患者肺部採集淋巴結活體做切片檢查,看是否癌細胞擴散至淋巴結?

In Part 4, the surgeon is removing an abnormal mass from the lung. The mass was being removed to see if it was a cancer. It is placed in a small plastic bag to prevent any cancer cells from coming into contact with the chest wall as it is removed through a small (1/2 inch) incision.片段四:外科醫生以導管外科器械從患者肺部切除異常腫瘤做切片檢查,看是否癌細胞?並將切除異常腫瘤放入小塑膠袋,以免導管外科器械從(1/2吋=1.25公分)切口移出異常腫瘤時,讓癌細胞接觸到胸壁.


In Part 4, the surgeon is removing an abnormal mass from the lung. The mass was being removed to see if it was a cancer. It is placed in a small plastic bag to prevent any cancer cells from coming into contact with the chest wall as it is removed through a small (1/2 inch) incision.片段四:外科醫生以導管外科器械從患者肺部切除異常腫瘤做切片檢查,看是否癌細胞?並將切除異常腫瘤放入小塑膠袋,以免導管外科器械從(1/2吋=1.25公分)切口移出異常腫瘤時,讓癌細胞接觸到胸壁.


http://www.cts.usc.edu/lpg-thoracoscopy-thethoracoscopyprocedure.html