Recent clinical innovations in thoracic surgery in Hong Kong
Publication in refereed journal

香港中文大學研究人員

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摘要The concept of personalized medicine, which aims to provide patients with targeted therapies while greatly reducing surgical trauma, is gaining popularity among Asian clinicians. Single port video-assisted thoracic surgery (VATS) has rapidly gained popularity in Hong Kong for major lung resections, despite bringing new challenges such as interference between surgical instruments and insertion of the optical source through a single incision. Novel types of endocutters and thoracoscopes can help reduce the difficulties commonly encountered during single-port VATS. Our region has been the testing ground and has led the development of many of these innovations. Performing VATS, in particular single-port VATS in hybrid operating theatre helps to localise small pulmonary lesions with real-time images, thus increasing surgical accuracy and pushes the boundaries in treating subcentimeter diseases. Such approach may be assisted by use of electromagnetic navigational bronchoscopy in the same setting. In addition, sublobar resection can also be more individualised according to pathologic tumour subtype that require rapid intraoperative diagnostic test to guide appropriate surgical therapy. A focus on technology and innovation for large tumours that require chest wall resection and reconstructions have also been on going, with new materials and prostheses that may be tailored to each individual needs. The current paper reviews the literature pertaining to the above topics and discusses recent related innovations in Hong Kong, highlighting the study results and future perspectives.
著者Zhao ZR, Li Z, Situ DR, Ng CSH
期刊名稱JOURNAL OF THORACIC DISEASE
出版年份2016
月份8
日期1
卷號8
出版社PIONEER BIOSCIENCE PUBL CO
頁次S618 - S626
國際標準期刊號2072-1439
電子國際標準期刊號2077-6624
語言英式英語
關鍵詞adenocarcinoma; Electromagnetic navigational bronchoscopy; hybrid operating theatre; single-port; video-assisted thoracic surgery (VATS)
Web of Science 學科類別Respiratory System

上次更新時間 2021-17-01 於 01:04