The feasibility and safety of thoracoscopic surgery under epidural and/or local anesthesia for spontaneous pneumothorax: a meta-analysis.

Chen, W; Zhang, Chenlei; Wang, Gebang; Li, Zhengjun; Wang, Hailong; Liu, Hongxu

doi:10.5114/wiitm.2017.68895

Cited by 1 publication

(1 citation statement)

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“…The mean was 66 minutes in the non-intubated group, and 78 minutes in the intubated group, which was considered statistically significant [ 17 ]. In the meta-analysis of Chen et al , although there are similarities among the patients, it was reported that the time spent in the operations room was shortened, and side effects related to general anaesthesia were not observed [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

First experiences in non-intubated, video-assisted thoracoscopic surgery: a single-centre study

Kermenli

Azar

Gündoğdu

2021

kitp

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Introduction: Video-assisted thoracoscopic surgery (VATS) with non-intubated technique is safely performed under spontaneous breathing and sedation. With this surgery, many complex thoracic surgical interventions can be successfully applied. Aim: We shared the results of our patients who underwent mediastinal biopsy, pleural biopsy, lung wedge resection, pneumothorax surgery, and pleural delocculation with non-intubated VATS. Material and methods: Patients who underwent surgery with non-intubated VATS between March 2015 and May 2020 in our clinic were included in the study. The patients were evaluated in terms of many factors such as age, gender, applied surgical intervention, diagnosis, side of surgery, duration of surgery, and time of hospital stay, and the results were recorded retrospectively. Results: Twenty of the patients were male and 12 were female. Regarding comorbid diseases in our patient group, 13 had extrathoracic malignancy, 7 had hypertension, 6 had heart disease, 5 had chronic obstructive pulmonary disease and asthma, and 4 had diabetes mellitus. Pleural drainage and biopsy were performed in 10 patients and wedge resection in 8 patients. Bullectomy and apical pleural abrasion were performed in 6 patients, mediastinal mass biopsy was performed in 4 patients, and delocculation was performed in 4 patients due to empyema. Conclusions: The non-intubated VATS approach can be safely applied in procedures such as lung resections, pleural or mediastinal interventions, and pneumothorax surgery. With this technique, the absence of intubation and mechanical ventilation facilitates the return to normal respiratory physiology, and we think that the recovery time of the patient, the duration of hospital stay, and treatment costs are reduced.

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Section: Discussionmentioning

confidence: 99%