原発性肺癌に対する胸腔鏡手術—現時点での適応と成績

The video-assisted thoracoscopic surgery for lung cancer:Indication and results.

　医療技術の進歩と，それに伴う映像光学系器機ならびに自動縫合器を含む体腔鏡手術器具の開発は，「より少ない侵襲でより完全な手術」を可能にした．肺野末梢部早期肺癌に対する胸腔鏡手術による肺葉切除も可能となり，さらにリンパ節郭清も試みられている，本稿では，肺癌に対する胸腔鏡手術の適応と成績を中心に解説した．

Recent advancements in video endoscopic equipment including autosuture instruments and the refinement of surgical techniques for video assisted thoracoscopic surgery have brought about complete operation by minimally invasive surgery. Currently, major anatomi-cal pulmonary resections for peripheral type early staged lung cancer can be performed using the minimal-ly invasive techniques of video assisted thoracoscopic surgery. Moreover, lymph node dissection is possible to perform.