Non-intubated anesthetic techniques for thoracic surgery

Coley, Emma; Irons, Joanne Frances

doi:10.21037/vats.2017.09.05

Cited by 5 publications

(2 citation statements)

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“…Traditionally intubated general anesthesia with single-lung mechanical ventilation is considered the standard approach for thoracic surgery, it allows the surgeon to isolate the operative lung, protect the main airway and grant optimal surgical conditions. However intubated general anesthesia is related to several complications such as airway trauma, ventilation-induced lung injury, impaired cardiac performance, nausea and vomiting and carries a higher risk for patients considered unfit because of old age or significant comorbidities ( 34 ). In this scenario non-intubated surgery, an approach already adopted before the introduction of selective lung ventilation, has been considered a valid alternative ( 35 ).…”

Section: Subxyphoideal Uniportal Vats Lobectomymentioning

confidence: 99%

Vats lobectomy for lung cancer. What has been the evolution over the time?

Re Cecconi,

Mangiameli,

De Simone

et al. 2024

Front. Oncol.

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Video assisted thoracic surgery (VATS) lobectomy is the treatment of choice for early-stage lung cancer. It is safe and effective compared to open surgery, as demonstrated by a large body of scientific evidence over the last few decades. VATS lobectomy’s evolution was driven by the need to decrease post-operative pain by reducing the extent of surgical accesses, maintaining the same oncological efficacy of open lobectomy with less invasiveness. VATS lobectomy just turned 30 years old, evolving and changing significantly from its origins. The aim of this mini review is to retrace the history, starting from a multiport approach to a single port approach. At the end of this mini review, we will discuss the advanced and the future challenges of the technique that has revolutionized thoracic surgery.

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Section: Subxyphoideal Uniportal Vats Lobectomymentioning

confidence: 99%

Vats lobectomy for lung cancer. What has been the evolution over the time?

Re Cecconi,

Mangiameli,

De Simone

et al. 2024

Front. Oncol.

View full text Add to dashboard Cite

show abstract

“…Tubeless VATS procedures are very demanding and challenging. Therefore, tubeless VATS needs to be performed by anesthesiologists well-trained and experienced with these SV-VATS anesthesia protocols (29).…”

Section: Anesthesiamentioning

confidence: 99%