Expert consensus on spontaneous ventilation video-assisted thoracoscopic surgery in primary spontaneous pneumothorax (Guangzhou)

He, Jianxing; Li, Jun; Zhu, Chengchu; Dai, Tianyang; Cai, Kaican; Zhang, Zhifeng; Cheng, Chao; Qiao, Kun; Liu, Xiang; Wang, Guangsuo; Xu, Shun; Yang, Rusong; Fan, Junqiang; Li, Hecheng; Jin, Jianhua; Dong, Qi; Liang, Lixia; Ding, Jinfeng; He, Kaiming; Liu, Yulin; Ye, Jing; Feng, Siyang; Jiang, Yu; Huang, Haoda; Zhang, Huankai; Liu, Zhenguo; Feng, Xia; Xia, Zhaohua; Ma, Mingfei; Duan, Zhongxin; Huang, Tonghai; Li, Yali; Shen, Qiming; Tan, Wen-Fei; Ma, Hong; Sun, Yang; Chen, Congcong; Cui, Fei; Wang, Wei; Li, Jingpei; Hao, Zhexue; Liu, Hui; Liang, Wenhua; Zou, Xiaofang; Liang, Hengrui; Yang, Hanyu; Li, Yingfen; Jiang, Shunjun; Ng, Calvin S.H.; González-Rivas, Diego; Pompeo, Eugenio; Flores, Raja M.; Shargall, Yaron; Ismail, Mahmoud; Bedetti, Benedetta; Elkhouly, Ahmed; Ang, Keng Leong

doi:10.21037/atm.2019.10.08

Cited by 10 publications

(12 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Our results reveal that the OS and DFS of patients undergoing the SV-VATS lobectomy were significantly better than patients who undergoing the MV-VATS lobectomy and thoracotomy. Previously, the characters of the non-intubated SV-VATS, included absence of endotracheal intubation and muscle relaxants during anesthesia induction, intravenous sedative, and less intravenous analgesics and opioids (20,21). The SV-VATS was associated with a faster postoperative recovery, decreased complications, and reduced length of hospital stay.…”

Section: Discussionmentioning

confidence: 99%

“…Another characteristic of the SV-VATS compared to the MV-VATS was full utilization of regional anesthesia (20,21). A meta-analysis indicated that epidural anesthesia and analgesia might be related to the increased OS for operable oncological patients (36).…”

Section: Discussionmentioning

confidence: 99%

“…All procedures and consumption of anesthesia were described in the previous study (18,20,21). Briefly, tracheal intubation ventilation was not administered throughout the operation under the SV-VATS.…”

Section: Anesthesia and Surgical Managementmentioning

confidence: 99%

See 2 more Smart Citations

Perioperative and long-term outcomes of spontaneous ventilation video-assisted thoracoscopic surgery for non-small cell lung cancer

Zheng¹,

Liang²,

Wang³

et al. 2021

Transl Lung Cancer Res

Self Cite

View full text Add to dashboard Cite

Background: Spontaneous ventilation video-assisted thoracoscopic surgery (SV-VATS) exhibits dual intraoperative and postoperative advantages for patients with non-small cell lung cancer (NSCLC).However, there is a lack of data regarding its long-term survival superiority over the double-lumen intubated mechanical ventilation video-assisted thoracoscopic surgery (MV-VATS) or thoracotomy.Methods: A retrospective study was conducted from 2011 to 2018 in the First Affiliated Hospital of Guangzhou Medical University among patients with NSCLC who underwent the SV-VATS or the MV-VATS. Patients receiving the SV-VATS were the study group, and patients receiving the MV-VATS were the control group. Propensity score matching (PSM) was performed to establish 1:1 SV-VATS versus MV-VATS group matching to balance potential baseline confounding factors. Primary endpoints were overall survival (OS) and disease-free survival (DFS). Secondary endpoints were perioperative outcomes. The baseline information of these patients was recorded. The perioperative data and survival data were collected using a combination of electronic data record system and telephone interview. A 1:1:1 SPM was also used to compare the OS in the SV-VATS, the MV-VATS and thoracotomy group by using another database, including patients undergoing thoracotomy and the MV-VATS.Results: For the two-group comparison, after 1:1 PSM, a matched cohort with 400 (200:200) patients was generated. The median follow-up time in this cohort was 4.78 years (IQR, 3.78-6.62 years). The OS (HR =0.567, 95% CI, 0.330 to 0.974, P=0.0498) and the DFS (HR =0.546, 95% CI, 0.346 to 0.863, P=0.013) of the SV-VATS group were significantly better than the MV-VATS group. There were no statistically differences between the SV-VATS and the MV-VATS group on the operative time (158.56±40.09 vs.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perioperative and long-term outcomes of spontaneous ventilation video-assisted thoracoscopic surgery for non-small cell lung cancer

Zheng¹,

Liang²,

Wang³

et al. 2021

Transl Lung Cancer Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…There is a high incidence of postoperative respiratory failure for these patients, which may hamper them from fast recovery after tumor resection. In recent expert consensuses, impaired lung function is also one of contraindications for SV-VATS or tubeless thoracic surgery (9,10).…”

Section: Introductionmentioning

confidence: 99%

Spontaneous ventilation video-assisted thoracic surgery for mediastinal tumor resection in patients with pulmonary function deficiency

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Whether non-intubated spontaneous ventilation video-assisted thoracoscopic surgery (SV-VATS) is a safe procedure remains controversial for mediastinal tumor patients with impaired lung function.Herein, we assessed feasibility of SV-VATS in lung function deficiency patients underwent mediastinal tumor resection. Methods: From December 2015 to February 2020, 32 mediastinal tumor patients with impaired lung function (preoperative forced expiratory volume in 1 second <70% of the predicted value) were retrospectively collected. Patients were divided into two groups: SV-VATS group and mechanical ventilation VATS (MV-VATS) group. Intraoperative and postoperative variables were compared between two cohorts. Results: Fifteen patients (46.88%) underwent SV-VATS and 17 patients (53.12%) were performed with MV-VATS. The most common causes of lung function deficiency were smoking (81.25%) and COPD (71.88%). Patients in the SV-VATS group had similar blood loss (20.63 vs. 18.76 mL, P=0.417) with MV-VATS group. The anesthesia time (217.51 vs. 197.76 min; P=0.343) and surgery time (141.23 vs. 132.36 min; P=0.209) were also similar between groups. Five people suffered postoperative complications in each group, in which 1 patient underwent MV-VATS was transferred to intensive care unit (ICU) because of prolonged extubation owing to hypoxia. There was no difference on chest tube removal time (2.6 vs. 2.3 days; P=0.172) or hospital duration (5.03 vs. 4.74 days; P=0.297) in patients underwent SV-VATS and MV-VATS.Conclusions: SV-VATS is safe and provides similar short-term results to MV-VATS for mediastinal tumor resection in patients with limited pulmonary function.

show abstract

“…Airway injury and other complications from tracheal intubation and one-lung ventilation (OLV) are often serious (1). The main advantage of NITS is that it avoids airway damage caused by OLV and other perioperative complications (2,3). NITS reportedly can be applied to most video-assisted thoracoscopic surgery (VATS) operations, including uniportal thoracic surgery (4).…”

Section: Introductionmentioning

confidence: 99%

Non-intubated uniportal video-assisted thoracoscopic surgery: lobectomy and systemic lymph node dissection

Wang

Liu

et al. 2020

J Thorac Dis

View full text Add to dashboard Cite

Expert consensus on spontaneous ventilation video-assisted thoracoscopic surgery in primary spontaneous pneumothorax (Guangzhou)

Cited by 10 publications

References 31 publications

Perioperative and long-term outcomes of spontaneous ventilation video-assisted thoracoscopic surgery for non-small cell lung cancer

Perioperative and long-term outcomes of spontaneous ventilation video-assisted thoracoscopic surgery for non-small cell lung cancer

Spontaneous ventilation video-assisted thoracic surgery for mediastinal tumor resection in patients with pulmonary function deficiency

Non-intubated uniportal video-assisted thoracoscopic surgery: lobectomy and systemic lymph node dissection

Contact Info

Product

Resources

About