ArticleJournal of thoracic disease2020
Developing a minimally-invasive anaesthesiological approach to non-intubated uniportal video-assisted thoracoscopic surgery in minor and major thoracic surgery.
Article in Journal of thoracic disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Comparison of postoperative pulmonary complications and intraoperative safety in thoracoscopic surgery under non-intubated versus intubated anesthesia: a randomized, controlled, double-blind non-inferiority trial.Updates in surgery · 2024Trial
- Transbronchial Lung Cryobiopsy and Awake Video-Assisted Thoracic Surgery in Interstitial Lung Disease: Complementary Roles in a Stepwise Diagnostic Approach.Diagnostics (Basel, Switzerland) · 2026Review
- The Advancing Frontier: Robotic-Assisted Laparoscopy in Pediatric Tumor Management.Indian journal of surgical oncology · 2025Review
- Physiological pattern differences in non-intubatedJournal of thoracic disease · 2025Article
- Current New Approach in Thoracoscopic Surgery: Non-Intubated Uniportal Video-Assisted Thoracoscopic Surgery (NI-UniVATS).Medicina (Kaunas, Lithuania) · 2025Article
- Postoperative pulmonary complications in awake video-assisted thoracoscopic surgery: Our 10-year experience.Turk gogus kalp damar cerrahisi dergisi · 2024Article
- Article
- Retrospectively analyze and compare the efficacy and safety of thoracoscopic-assisted Nuss repair of pectus excavatum under intubation anesthesia and non-intubation anesthesia.Journal of thoracic disease · 2022Article
- [Current approaches to anesthetic management in thoracic surgery-An evaluation from the German Thoracic Registry].Die Anaesthesiologie · 2022Article
- The strategy of non-intubated spontaneous ventilation anesthesia for upper tracheal surgery: a retrospective case series study.Translational lung cancer research · 2022Article
- Non-intubated video-assisted thoracoscopic surgery under combination of erector spinae plane block and thoracic paravertebral block.BMC anesthesiology · 2022Article
- Therapy option for early-stage lung cancer in nonsurgical patients.Translational lung cancer research · 2022Article
- The Anesthesiologist's Perspective Regarding Non-intubated Thoracic Surgery: A Scoping Review.Frontiers in surgery · 2022Article
- Non-Intubated Thoracic Surgery: Standpoints and Perspectives.Frontiers in surgery · 2022Article
- Converting to Intubation During Non-intubated Thoracic Surgery: Incidence, Indication, Technique, and Prevention.Frontiers in surgery · 2021Review
- Non-intubated Thoracoscopic Surgery-Tips and Tricks From Anesthesiological Aspects: A Mini Review.Frontiers in surgery · 2021Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-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.
methodsAll 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.
resultsNo 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.
conclusionsniVATS 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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