經劍突下胸腔鏡輔助手術對於巨大肺腫瘤切除術後的微小術後疼痛——病例報告

Minimally Postoperative Pain After Huge Pulmonary Tumor Resection Under Subxyphoid Uniportal Video-assisted Thoracoscopic Surgery - A Case Report

相較於其他手術而言，傳統開胸手術術後的疼痛程度較高，其原因主要為撐開肋骨及肋間神經之傷害。影像輔助胸腔鏡手術（VATS）可以避免肋骨之撐開及減少肋間神經之傷害，可以降低術後疼痛。對於較小的肺部腫瘤，傳統影像輔助胸腔鏡手術可以達到此目標，但對於較大的肺部腫瘤移出身體時則無可避免傷及筋骨及肋間神經。經劍突下胸腔鏡輔助手術則可避免這些傷害而降低術後疼痛，在此我們報告一例病例。

Postoperative pain of thoracotomy is severe than other surgical approaches, the major reasons are rib spreading and injury of intercostal nerve. Video-assisted Tboracoscopic Surgery (VATS) is a way to reduce postoperative pain, due to avoid rib spreading and less intercostal nerve injury. For small lung tumors, conventional VATS is useful to avoid rib spreading, but it is not work for large lung tumors. We report a case of huge lung tumor used subxyphoid uniportal VATS approach with minimally postoperative pain.