临床外科杂志 ›› 2025, Vol. 33 ›› Issue (9): 916-921.doi: 10.3969/j.issn.1005-6483.20250795

• 专家笔谈 • 上一篇    下一篇

胸外科剑突下入路微创手术的应用进展和发展趋势

葛琦岳 林栋 曾惟标 吴亮 范江   

  1. 200080 上海,上海交通大学附属第一人民医院胸外科
  • 收稿日期:2025-08-06 出版日期:2025-10-16 发布日期:2025-10-16
  • 通讯作者: 范江,Email:fan_jiang@sjtu.edu.cn
  • 基金资助:
    国家重点研发计划项目(2022YFF0710004)

Application progress and development trends of minimally invasive surgery via subxiphoid approach in thoracic surgery

GE Qiyue,LIN Dong,ZENG Weibiao,WU Liang,FAN Jiang   

  1. Department of Thoracic Surgery,Shanghai General Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200080,China
  • Received:2025-08-06 Online:2025-09-20 Published:2025-10-16

摘要: 自20世纪90年代胸腔镜手术问世以来,胸外科手术入路的革新从未停止。在这一过程中,剑突下入路因其独特的视角优势、更佳的美容效果以及显著的术后疼痛减轻而逐渐崭露头角。进入21世纪后,国内外多中心团队不断拓展该入路的应用范围,使其从早期探索性技术发展为胸外科常规术式之一。目前,在纵隔肿瘤切除、肺手术、胸壁手术及各类活检等临床场景中,剑突下入路均已展现其独特价值。本文旨在系统阐述剑突下微创入路的最新应用进展,并探讨其未来发展趋势。

关键词: 剑突下入路;微创手术

Abstract: Since the emergence of thoracoscopic surgery in the 1990s,innovations in surgical approaches for thoracic surgery have never ceased.During this process,the subxiphoid approach has gradually stood out due to its distinctive perspective advantages,superior cosmetic outcomes,and significant reduction in postoperative pain.After entering the 21st century,multi-center research teams,both domestically and internationally,have continuously expanded the application scope of the subxiphoid approach,transforming it from an early exploratory technique into one of the conventional surgical methods in thoracic surgery.Currently,the subxiphoid approach has demonstrated its unique value in clinical settings,including mediastinal tumor resection,lung surgery,chest wall surgery and diverse biopsies.This article aims to provide a systematical elaboration on the latest progress in the application of the subxiphoid approach and explore its future development trends.

Key words: subxiphoid approach;minimally invasive surgery

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