https://scholars.lib.ntu.edu.tw/handle/123456789/561855
標題: | Recent advances in surgical management of early lung cancer | 作者: | SHUN-MAO YANG HSAO-HSUN HSU JIN-SHING CHEN |
公開日期: | 2017 | 出版社: | Elsevier B.V. | 卷: | 116 | 期: | 12 | 起(迄)頁: | 917-923 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | The broad application of low-dose computed tomography screening has resulted in the detection of many more cases of early lung cancer than ever before in modern history. Recent advances in the management of early-stage non-small cell lung cancer have focused on making therapy less traumatic, enhancing recovery, and preserving lung function. In this review, we discuss several new modalities associated with minimally invasive surgery for lung cancer. Firstly, less lung parenchyma resection via sublobar resection has become an acceptable alternative to lobectomy in patients with tumors less than 2 cm in size or with poor cardiopulmonary reserve. Secondly, thoracoscopic surgery using a single-portal or needlescopic approach to decrease chest wall trauma is becoming common practice. Thirdly, less invasive anesthesia, using nonintubated techniques, is feasible and safe and is associated with fewer intubation- and ventilator-associated complications. Fourthly, preoperative or intraoperative image-guided localization is an effective modality for identifying small and deep nodules during thoracoscopic surgery. ? 2017 |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028060377&doi=10.1016%2fj.jfma.2017.07.009&partnerID=40&md5=665ae0a49232bef8c32b56f8f0d7b05c https://scholars.lib.ntu.edu.tw/handle/123456789/561855 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2017.07.009 | SDG/關鍵字: | lobectomy; lung cancer; lung function; lung nodule; lung parenchyma; minimally invasive surgery; priority journal; Review; segmentectomy; tumor localization; wedge resection; anesthesia; diagnostic imaging; early cancer diagnosis; human; lung tumor; minimally invasive surgery; non small cell lung cancer; procedures; x-ray computed tomography; Anesthesia; Carcinoma, Non-Small-Cell Lung; Early Detection of Cancer; Humans; Lung Neoplasms; Minimally Invasive Surgical Procedures; Tomography, X-Ray Computed |
顯示於: | 醫學系 |
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