ArticleJournal of thoracic disease2018
Tubeless single-port thoracoscopic sublobar resection: indication and safety.
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Comparison of perioperative outcomes with or without routine chest tube drainage after video-assisted thoracoscopic pulmonary resection: A systematic review and meta-analysis.Frontiers in oncology · 2022Pooled it
- Tubeless uniportal VATS in thoracic surgery - Indications, ERAS pathways, and outcomes: A review.Biomolecules & biomedicine · 2026Review
- Complete Tubeless video-assisted thoracoscopic surgery for pulmonary nodules: association with faster recovery, less pain, and shorter hospital stay.Frontiers in surgery · 2026Article
- Early chest drain removal on the day of uniportal thoracoscopic segmentectomy.General thoracic and cardiovascular surgery · 2023Article
- Chest tube-free video-assisted thoracoscopic surgery secured by quantitative air leak monitoring: a case series.Journal of thoracic disease · 2023Article
- Enhanced recovery of postoperative nursing for single-port thoracoscopic surgery in lung cancer patients.Frontiers in oncology · 2023Review
- Drainless thoracoscopic surgery should be avoided in primary spontaneous pneumothorax with pleural adhesion.Interactive cardiovascular and thoracic surgery · 2022Article
- Anesthetic (r)evolution from the conventional concept to the minimally invasive techniques in thoracic surgery-narrative review.Journal of thoracic disease · 2022Review
- A propensity sore-matched study: Applying a modified chest tube drainage strategy in rapid rehabilitation following uni-portal thoracoscopic pulmonary wedge resection.Thoracic cancer · 2022Article
- The Anesthesiologist's Perspective Regarding Non-intubated Thoracic Surgery: A Scoping Review.Frontiers in surgery · 2022Article
- Tubeless video-assisted thoracic surgery for pulmonary ground-glass nodules: expert consensus and protocol (Guangzhou).Translational lung cancer research · 2021Review
- Efficacy and safety of omitting chest drains after video-assisted thoracoscopic surgery: a systematic review and meta-analysis.Journal of thoracic disease · 2021Article
- Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage.BMC surgery · 2020Article
- Tubeless minimally invasive treatment: taking a new step in enhanced recovery after surgery (ERAS).Thoracic cancer · 2019Article
- Expert consensus on tubeless video-assisted thoracoscopic surgery (Guangzhou).Journal of thoracic disease · 2019Review
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe tubeless technique, defined as non-intubated general anesthesia with omission of chest drainage after video-assisted thoracoscopic surgery (VATS), is a new concept to further minimize surgical trauma. However, there has been little investigation into the associated feasibility and safety. Minimization of postoperative pneumothorax is challenging. We set up a "tubeless protocol" to select patients for tubeless single-port VATS with monitoring of a digital drainage system (DDS).
methodsFrom November 2016 to September 2017, 50 consecutive non-intubated single-port VATS for pulmonary resection were performed. In our study, patients with small and peripheral pulmonary lesions indicated for sublobar resections, as diagnostic or curative intent, were included. After excluding patients having tumors >2 cm, or intrapleural adhesions noted during operation, or forced expiratory volume in the 1 second <1.5 L, 36 patients were selected for tubeless protocol. The clinical characteristics and perioperative outcomes of these patients are presented.
resultsAmong 36 cases, 5 patients had minor air leaks detected using the DDS and required intercostal drainage after wound closure. Among the remaining 31 patients in whom the DDS showed no air leak, the chest drainage was removed immediately after wound closure. A postoperative chest roentgenogram on the surgery day showed full expansion in all patients without pneumothorax. Only 7 (19.4%) patients developed minor subclinical pneumothorax on the first postoperative day without the need for chest drainage. All patients were discharged uneventfully without the need for intervention.
conclusionsOur tubeless protocol utilizes DDS to select patients who can have intercostal drainage omitted after non-intubated single-port VATS for pulmonary resection. Using objective DDS parameters, we believe that this is an effective way to reduce the rate of pneumothorax after tubeless single-port VATS in selected patients.
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