2018
DOI: 10.21037/jovs.2017.12.09
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Abstract: Uniportal video-assisted thoracoscopic surgery (VATS) is the most advanced evolution of the minimally invasive technique, which allows often the possibility to include patients in enhanced recovery programs in order to optimize the therapeutic pathway, shorten the length of stay and reduce hospital costs. Non-intubated VATS procedures allow the performance of surgeries with minimal sedation without general anesthesia, maintaining throughout the operation spontaneous breathing. The principle is to create an iat… Show more

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Cited by 26 publications
(24 citation statements)
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“…Under LA, there is no need to intubate with the double-lumen endotracheal tube. This eliminates the injuries associated with intubation; therefore, fewer patients complain of throat pain in LA groups than in GA groups [2,[11][12][13][14][15]. During surgery under LA, the patient is in mild sedation.…”
Section: Discussionmentioning
confidence: 99%
“…Under LA, there is no need to intubate with the double-lumen endotracheal tube. This eliminates the injuries associated with intubation; therefore, fewer patients complain of throat pain in LA groups than in GA groups [2,[11][12][13][14][15]. During surgery under LA, the patient is in mild sedation.…”
Section: Discussionmentioning
confidence: 99%
“…Patients who underwent AVATS pleural biopsy were signi cantly older (mean, SD: 76.17 ± 12.67) than those who underwent VATS (mean, SD: 53.73 ± 18.10) pleural biopsy. This was due to our preference to avoid possible side effects of general anesthesia in elderly patients, as in some previous studies [12][13][14][15].…”
Section: Discussionmentioning
confidence: 99%
“…AT provides an alternative diagnostic strategy for patients with severe comorbidities that are not suitable for general anesthesia or one lung ventilation [2,3,10]. Likewise, awake VATS (AVATS) pleural biopsies are successfully performed under local anesthesia and sedation in awake patients with a high risk of general anesthesia and/or not suitable for one lung ventilation [11][12][13][14][15].…”
Section: Introductionmentioning
confidence: 99%
“…Taking the fast-track concept a step further, there is a growing number of reports describing VATS-procedures in a non-intubated, mostly awake patient under different techniques of regional and local anesthesia (66)(67)(68)(69). Next to the control of the cough-reflex, hypoxemia and hypercapnia caused by the iatrogenic pneumothorax intraoperatively are the challenges of this technique.…”
Section: Future Visionmentioning
confidence: 99%