Non-intubated uniportal video-assisted thoracoscopic surgery-lobectomy in Germany—the first 2 cases

Zardo, Patrick; Zinne, Norman; Logemann, Frank; Gras, C; Rivas, Diego Gonzales

doi:10.21037/jovs.2018.07.18

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Primary end point of our study was to evaluate feasibility and safety of a minimally invasive anaesthesiological approach in niVATS in minor and major pulmonary resection after first introducing the technique at our institution in 2018 (22). Both groups had no early mortality and low conversion and complication rates, suggesting a general viability to our approach.…”

Section: Discussionmentioning

confidence: 99%

Developing a minimally-invasive anaesthesiological approach to non-intubated uniportal video-assisted thoracoscopic surgery in minor and major thoracic surgery

Starke¹,

Zinne²,

Leffler³

et al. 2020

J Thorac Dis

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Background: Non-intubated uniportal video-assisted thoracoscopic surgery (niVATS) is a novel approach to major and minor lung resection. It benefits from a holistic anesthesiological concept with adequate pain relief and sedation in a minimal-invasive setup allowing thoracic procedures under spontaneous breathing.At present no anesthesiological gold standard for niVATS exists. The primary aim of our retrospective observational study was to evaluate feasibility and safety of minimally invasive niVATS for both minor and major pulmonary resections at our institution. Methods: All 88 consecutive patients scheduled for niVATS minor or major thoracic procedures were included into the study. Anaesthesia was performed according to a departmental niVATS algorithm including both regional anaesthesia and sedation. Patient characteristics and early outcome data including intraoperative and postoperative findings were compared between groups. Prediction scores for postoperative complications (LAS VEGAS, ARISCAT, ThRCRI) were calculated and compared.Results: No early mortality and a low overall morbidity rate of 28.4% were encountered. Conversion to orotracheal intubation was required in 6.8% of all cases. Postoperative pulmonary complications occurred in 15.9% of total cases and were lower than predicted by both LAS VEGAS and ARISCAT respectively. Cardiac complications were found in 1.1% and lower than predicted by ThRCRI. A persistent air leak occurred in 11.4% of total cases and was significantly higher in major resection. Postoperative chest tube duration and hospital length of stay in the major resection group exceeded times reported by other groups.Conclusions: niVATS appears to be safe in both minor and major thoracic procedures. A minimally invasive anaesthesiological approach foregoing central iv lines, arterial blood pressure measurement and urinary catheterization is feasible. Our niVATS protocol appears to be a viable alternative for both minor and major thoracic procedures in selected patients.

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Section: Discussionmentioning

confidence: 99%

Developing a minimally-invasive anaesthesiological approach to non-intubated uniportal video-assisted thoracoscopic surgery in minor and major thoracic surgery

Starke¹,

Zinne²,

Leffler³

et al. 2020

J Thorac Dis

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“…Materials and Methods: This article describes clinical cases of the introduction of NI-VATS for malignant lung tumors. The main technical aspects of the procedure [7,18] are adapted in the settings of the Almaty Regional Multidisciplinary Clinic.…”

Section: Introductionmentioning

confidence: 99%

The First Experience of Using Non-Intubation Video-Assisted Thoracoscopic Resections for Lung Cancer in the Republic of Kazakhstan

Makarov,

Baimuhametov,

Мusanov

et al. 2023

Onkol. radiol. Kaz.

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Relevance:Several studies have shown that non-intubation surgical interventions, especially, have proven themselves well in patients with low reserve of the cardiovascular and respiratory systems, as well as in the diagnosis of interstitial lung diseases. The study aimed to describe the experience of introducing into clinical practice surgical interventions without intubation on spontaneous breathing for malignant neoplasms of the lungs and mediastinal organs. Methods: two clinical cases are described of the main points of the anesthesia and technical features of surgical intervention. Results: A surgery in two patients with peripheral lung cancer was performed. In the first case, the operation included NI-VATS on the right and the resection of the upper (S2) and lower lobe (S6, S9); in the second case – NI-VATS on the right, lower lobectomy, and lymph node dissection. Based on the results of histological examination, both patients were diagnosed with NSCLC in the initial stages. Postoperative chemoradiotherapy is not indicated. The patients were registered at the dispensary in clinical group III. Conclusion: As the literature data and our preliminary results of NI-VATS show, surgical interventions in the surgical treatment of lung cancer have places to be and should be widely introduced into clinical practice in oncothoracic departments of the Republic of Kazakhstan.

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Non-intubated uniportal video-assisted thoracoscopic surgery-lobectomy in Germany—the first 2 cases

Cited by 2 publications

References 5 publications

Developing a minimally-invasive anaesthesiological approach to non-intubated uniportal video-assisted thoracoscopic surgery in minor and major thoracic surgery

Developing a minimally-invasive anaesthesiological approach to non-intubated uniportal video-assisted thoracoscopic surgery in minor and major thoracic surgery

The First Experience of Using Non-Intubation Video-Assisted Thoracoscopic Resections for Lung Cancer in the Republic of Kazakhstan

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