Reduced port surgery for thoracic disease Yoshihiro MIYAUCHI 1 , Hirochika MATSUBARA 1 , Norio HASUDA 1 , Hiroyasu MATSUOKA 1 , Tsuyoshi UCHIDA 1 , Yuichiro ONUKI 1 , Satoshi NAGASAKA 2 , Satsuki KINA 2 12nd department of surgery, Yamanashi University 2Department of Thoracic Surgery, National Center for Global Health and Medicine Keyword: 胸腔鏡 , 単孔式手術 , 細径内視鏡手術 pp.25-29
Published Date 2016/1/15
DOI https://doi.org/10.11477/mf.4426200210
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【Aim】Reduced port surgery(RPS) has been developed with the aim of further reducing the invasiveness of traditional endoscopic surgery. We report here the clinical RPS for thoracic disease. 【Patients and Methods】Between August 2010 and July 2014, 41 patients underwent RPS for thoracic disease. Single incision surgery(SIS) was performed in 12 patients, and needlescopic surgery(NSS) was performed in 29 patients. We compared clinical elements of these cases. 【Results】SIS and NSS were carried out safely, and the operations by residents accounted for approximately half of the RPS. 【Conclusion】There are no thoracic structures like the umbilicus in laparoscopic surgery. Therefore, the utility of SIS for thoracic disease is limited in contrast to single incision laparoscopic surgery. On the other hand, NSS can be introduced while keeping the quality of conventional VATS. This procedure has the potential to spread more widely with the development of surgical equipment.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会