单孔胸腔镜手术环球之旅（英文版 精）

　　After many years of no evolution in our specialty， momentum is again with us， thanks to the explosion of rrunimally invasive techniques maHng our specialty more interesting than ever. The future offers many changes for thoracic surgery， and the forces in play are complex and myriad. The modern technology and recent innovative techniques make this an incredibly exciting time for our specialty.One of the most significant of these advances from the patient's perspective is the development of minimally invasive thoracoscopic surgery For the past several decades， the thoracotomy was considered the gold standard approach to primary non-small cell lung cancer. But this procedure was too aggressive： big incision spreading the ribs， anesthetic control with a double lumen tube， epidural， central venous catheter， arterialline and urinary catheter.Thanks to the improvements in technology and surgical instruments. Most of the thoracic surgical procedures can be performed by video-assisted thoracoscopic surgery （VATS）， therefore resulting in less pain， shorter hospital stay and with excellent surgical outcomes.The progress ofVATS is an ongoing development and challenges to the role of a VATS major resections will never cease to emerge. The information available on Internet， live surgery events and experimental courses has contributed to the rapid learning of minimally invasive surgery during the last decade. While initially slow to catch on， the traditional multi-port approach has evolved into a single incision approach （uniportal VATS） that mimics open surgical vantage points wlule utilizing a non-rib-spreading small incision. The early period of uniportal VATS development was focused on minor procedures until the second phase uniportal VATS started in 2010 with the development of the technique for major pulmonary resections.The creation of specific uniportal VATS programs in high volume centers， like the Shanghai pulmonary hospital （the biggest thoracic program in the world with more than 8，000 major resections per year， Figure 1） has contributed to spread out the technique to a large number of surgeons from all over the world in a short period of time.Nevertheless our speciality must continue looking for the way to offer our patients the least invasive approach possible for removing the lung cancer. Improvements in anaesthetic techniques such as non-intubated uniportal VATS， may further quicken postoperative recovery allowing the tumor resection to be performed in an ambulatory setting. Furthermore，the need to reduce the risk of intercostal nerve damage associated with the transthoracic incision has led to the recent development of uniportal subxiphoid VATS technique for major pulmonary resections.It is interesting to note that in only a period of 6 years， uniportal VATS has further evolved into a soplusticated technique capable of performing the most complex thoracic procedures， including bronchovascular and carinal resections. Additionally，a rapid progress in instrument design and technology have brought developments of ultrahigh definition cameras， narrower and more angulated endostaplers， sealing devices for vessels， and adapted and refined thoracoscopic instruments.

暂缺《单孔胸腔镜手术环球之旅（英文版 精）》作者简介

Foreword
Diego Gonzalez-Rivas
Preface
iii Diego Gonzalez-Rivas，Geningjiang，Yuming Zhu
v Alan D．L．Sihoe
vii Calvin Sze Hang Ng
viii Thomas A． D'Amico
ix Tomasz Grodzki
x Jianxing He
xi Hiran C． Fernando
xii Mahmoud Ismail
General Introduction
Video-assisted thoracoscopic surgery versus stereotactic radiotherapy for early stage lung cancer： what is the best treatment?
Uniportal thoracoscopic surgery： from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resecOons
Uniportal VATS-a new era in lung cancer surgery
Evolving from conventional video-assisted thoracoscopic lobectomy to uniportal： the story behind the evolution
Evolving thoracic surgery： from open surgery to single port thoracoscopic surgery and future robotic
Is uniportal thoracoscopic surgery a feasible approach for advanced stages of non-small cell lung cancer?
Multivariate analysis in thoracic research
Video-assisted thoracoscopic lobectomy versus stereotactic radiotherapy for stage I lung cancer
Recent advances in uniportal video-assisted thoracoscopic surgery
Opporturuties and challenges for thoracic surgery collaborations in China： a commentary
Lobectomy
Systematic review and meta-analysis of uniportal versus multiportal video-assisted thoracoscopic lobectomy for lung cancer
Technique of uniportal VATS major pulmonary resections
Uniportal video-assisted thoracoscopic lobectomy
Technical steps in single port video-assisted thoracoscopic surgery lobectomy
Uniportal video-assisted thoracoscopic left upper lobectomy under spontaneous ventilation
Uniportal video-assisted thoracoscopic lobectomy in the animal model
Techniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS
Total anatomic vascular dissection for lobectomy by using only energy devices
Management of complications by uniportal video-assisted thoracoscopic surgery
Uniportal video-assisted thoracoscopic major pulmonary resections
Non-intubated (tubeless) uniportal video-assisted thoracoscopic lobectomy
Uniportal video-assisted thoracoscopic lymph node dissection
Subxiphoid mediastinallymphadenectomy
Segmentectomy
Advanced Resections：Pneumonectomy，Chest Wall and Sleeve
Uniportal VATS Experience from Different Countries
Meet the Professor