Diego & Alan:单孔看世界

Published at: 2015年第1卷第S1期


A.Alan 和Diego为WEBLAD中表现最佳的trainee授予由其主编、AME出版社出版的新书Video-Assisted Thoracic Surgery

B.Alan 和Diego为WEBLAD中表现最佳的trainee授予由其主编、AME出版社出版的新书Video-Assisted Thoracic Surgery


编者按:第3届国际单孔胸腔镜手术研讨会于3月16日-18日在柏林圆满落幕。作为欧洲为数不多的单孔手术培训班,而且是一年一次的课程,虽然只有短短三天,却带来了不少火花的碰撞。在我们跟专家的采访中,时常会问他们一个问题:您怎么看待胸腔镜未来发展或胸外科的发展趋势?虽然这是个前瞻性的问题,却多少会希望专家会回答某一种手术方法将脱颖而出。无疑,单孔手术会越来越流行,至少在未来几年它的地位是毋庸置疑的。最近,当何建行教授推出自主呼吸麻醉剑突下单孔胸腔镜手术,一时间国内胸外科界哇然。这次会上,深圳市人民医院的王光锁医生也兴致勃勃地谈到自主呼吸麻醉单孔胸腔镜,他是在去年何教授举办的tubeless VATS学习班上有所启发的。

单孔胸腔镜和自主呼吸麻醉两者最早的“珠联璧合”或者可以说益于2012年,Diego 和何建行教授的相识。当年Diego在广州医科大学附属第一医院胸外科学习了自主呼吸麻醉手术,之后很多单孔手术都是在自主呼吸麻醉下完成的。奈何单孔手术还是成功单飞了。有一次采访Diego,问到是否会推广单孔手术+自主呼吸麻醉手术,他显然有些迟疑,表示自主呼吸麻醉手术适应征虽然比较多,但是不是都适用的。


在这场单孔运动中,Alan Sihoe教授似乎始终保持一个清晰的认识。前不久,他就“the reasons not to do uniportal VATS”一题做会议报告,得到与会专家的一直好评。在这次会议上,Alan教授的讲题是Cost saving strategies in Uniportal VATS和Personalized surgery for lung cancer,报告给我们更多的是思考:作为外科医生,我们最care的是什么?患者!Patient comes first! 

这次会议 WEBLAB坐落在柏林与波兰的边境一个小村庄,经过一个多小时的车程,我们终于抵达实验室。曲径通幽处的环境到给了我们一个很好的交流机会。在纷纷扰扰的讨论中,让我们坐下来,听听Diego 和Alan内心对单孔胸腔镜的看法。

Diego & Alan笑谈单孔胸腔镜



1. Why do you love uniportal VATS surgery? 

2. How popular is uniportal VATS in Europe and Asia? 

3. When did you first perform uniportal VATS? 

4. Is experience with conventional VATS is needed before doing uniportal VATS? 

5. What is the challenge in promoting uniportal VATS further?

6. What do you think is the future development of uniportal VATS? Unoportal Non-intubated surgery?

7. Any suggestions for the young surgeons?


Diego Gonzalez-Rivas (冈萨雷斯·迭安戈)

Dr. Diego Gonzalez Rivas is a graduate of Santiago de Compostela University and the College of Physicians & Surgeons of Coruña University (MD). He received training in General Surgery, Thoracic Surgery, and lung transplantation at Coruña University Hospital.  After completing a year working in Santiago University Hospital joined the faculty at Coruña Hospital and is currently Thoracic Surgeon in Coruña University center and an active member of lung transplantation program (40 cases per year). He is the creator of Minimally invasive thoracic surgery Unit (UCTMI) working at Quiron Hospital, San Rafael and Modelo medical center. Actually he works in these 4 medical hospitals at Coruña city and in Shanghai Pulmonary hospital, in Shanghai (China). He is the director of the uniportal VATS training program at Shanghai Pulmonary Hospital (biggest thoracic center in the world). 

Dr Gonzalez Rivas serves on several editorial boards. He is the Associate Editor of Journal of Visualized Surgery and is reviewer of many scientific journals. He is the organizer of the annual meeting of Spanish society of thoracic surgery (SECT) from 2014-2017. He also collaborates with educational activities of European Society (ESTS) and International Society of Minimally Invasive Cardiothoracic Surgery (ISMICS). He is a board European certificated surgeon since 2010 (FECTS). He started to perform VATS lobectomies in 2007 after learning the technique at Cedars Sinai. After 100 major resections performed he visited Duke medical center to learn the double port technique with Dr. Thomas D’Amico.  Once experience was gained with this technique he evolved to single-port approach.

He was pioneer surgeon in the world performing uniportal VATS lobectomies (first case in June 2010) and non-intubated uniportal major pulmonary resections (first case in April 2014). He has published several papers describing these procedures and the results in the most important medical journals and textbooks of thoracic surgery. More information about the technique in www.videothoracoscopy.com.

Alan Dart Loon Sihoe (司徒达麟)

Dr Alan Sihoe is currently a Clinical Associate Professor of the Departments of Surgery at the University of Hong Kong, and the Chief of Thoracic Surgery at the University of Hong Kong Shenzhen Hospital in Shenzhen, China. He is also an Honorary Consultant in Cardiothoracic Surgery at the Queen Mary Hospital in Hong Kong.

Dr Sihoe received his medical training at the University of Cambridge in the United Kingdom, where he was awarded multiple prizes and where he received an Honours degree and a Masters degree for research in Pathology. After working in Scotland and England, he completed his training in Cardiothoracic Surgery in Hong Kong under the mentorship of Prof Anthony Yim.

Dr Sihoe is a recognized expert and advocate of ‘next generation’ minimally invasive thoracic surgery techniques – especially uniportal and needlescopic chest surgery. He is a frequent Invited Lecturer and Faculty member at conferences and surgical education events throughout Asia, Europe and North America, sharing his experiences in these advanced thoracic surgical techniques. His many research interests include pain reduction and air leak management strategies following pulmonary operations. Dr Sihoe has published extensively, and has won or been short-listed for multiple awards in thoracic surgery and clinical research.

Dr Sihoe is the co-Editor-in-Chief of Journal of Visualized Surgery, an Associate Editor of the Interactive Cardiovascular and Thoracic Surgery journal, and an Editorial Board member of multiple international journals in Surgery and Respiratory Medicine. He is the only Asian member of the Scientific Program Committee of the European Society of Thoracic Surgeons (ESTS), and the Asia Team Captain for the ESTS Postgraduate Course. He is also a Committee Member of the Asian Thoracoscopic Surgery Education Program and of the Society for Minimally Invasive Thoracic Surgery. He is an examiner for the College of Surgeons of Hong Kong, a member of the Institutional Review Board of the University of Hong Kong, and a former member of the Cardiothoracic Surgery Board of Hong Kong.







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