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目前肺癌外科手术的最大进展是微创外科技术和腔镜技术的普及和推广。现在胸外科微创手术治疗主要包括两种方法:1.不损伤胸壁肌肉小切口开胸术(muscle-sparing thoracotomy,MST);2.胸腔镜外科技术(video assisted thoracoscopic surgery,VATS)。~一、不损伤胸壁肌肉小切口开胸术不损伤胸壁肌肉小切口开胸术的切口长6~10cm,向后牵拉背阔肌,沿前锯肌肌肉纤维方向分开至肋间表面,切开肋间置入最小号撑开器,可以完成绝大多数的肺癌手术。MST开胸至关胸时间明显缩短,因其保持了胸壁肌肉的完整,使患者术后疼痛明显
At present, the greatest progress of lung cancer surgery is the popularization and promotion of minimally invasive surgical techniques and endoscopic techniques. Currently, there are two methods of minimally invasive thoracic surgery: 1. Muscle-sparing thoracotomy (MST) without damage to the chest wall; 2. Video assisted thoracoscopic surgery (VATS). ~ One, does not damage the chest wall muscle incision Thoracotomy does not damage the chest wall muscle incision Thoracotomy incision length 6 ~ 10cm, pull back latissimus dorsi muscle, along the direction of the muscle fibers of the serratus anterior to the intercostal surface, cut Open intercostal space into the smallest open device, you can complete the vast majority of lung cancer surgery. MST thoracotomy to close the chest time was significantly shorter, because it maintains the integrity of the chest wall muscles, so that patients with postoperative pain significantly