Minimal invasive surgery with short operation time and enhanced recovery after surgery can truly achieve biological minimal invasiveness. The minimal invasive lung cancer surgery includes several kinds, such as uni-portal video-assisted thoracoscopic surgery (VATS) and multi-portal VATS. Robotic-assisted thoracic surgery (RATS) can be categorized into multi-portal VATS. As a frontier technology of minimal invasive surgical technique, surgical robotic system has been broadly applied in many areas. The average RATS operation time is (91.51±30.80) min among our team, which is much shorter than reported uni-portal VATS operation time. For now, RATS has some drawbacks and is lacking of national practice guidelines, which, we believe, will be solved by technology development and large-scale randomized controlled trials. .
能够尽量缩短手术时长、加速术后快速康复的微创手术才能达到生物学意义上的微创。肺癌微创手术有多种手术方式，包括单孔胸腔镜手术和多孔胸腔镜手术，其中多孔胸腔镜手术又包含达芬奇机器人手术。外科手术机器人作为目前微创技术领域的前沿，已广泛应用于各个外科领域。本手术组多孔机器人肺手术时长平均为（91.51±30.80）min，相较单孔手术时长大大缩短。目前机器人手术系统尚存在一些缺陷，也缺少全国统一的机器人胸部手术诊疗规范，有待未来技术发展和大型前瞻性随机对照试验来解决。 .
Keywords: Biological minimal invasiveness; Lung neoplasms; Minimal invasive surgery.