ArticleJTCVS techniques2021
Nonintubated versus intubated "one-stage" preoperative localization and thoracoscopic lung resection.
Article in JTCVS techniques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- Anesthetic (r)evolution from the conventional concept to the minimally invasive techniques in thoracic surgery-narrative review.Journal of thoracic disease · 2022Review
- Fluorescence-guided lung nodule identification during minimally invasive lung resections.Frontiers in surgery · 2022Review
- How effective is indocyanine green (ICG) in localization of malignant pulmonary nodules? A systematic review and meta-analysis.Frontiers in surgery · 2022Review
- Commentary: Electromagnetic navigation with nonintubated thoracoscopic wedge resection: Summating novelties to reveal truths.JTCVS techniques · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveNonintubated anesthesia, electromagnetic navigation (EMN)-guided preoperative localization, and uniportal video-assisted thoracic surgery (VATS) are recent innovations in minimally invasive thoracic surgery. This study aimed to explore the feasibility of applying nonintubated anesthesia in a "one-stage" localization and resection workflow.
methodsPatients who underwent EMN-guided preoperative percutaneous localization with indocyanine green (ICG) and uniportal VATS were included. Perioperative data were compared between patients receiving nonintubated anesthesia and those receiving general anesthesia with endotracheal intubation.
resultsForty-six patients with a total of 50 nodules were included in the study. Overall, finger palpation could be avoided in 94% of the nodules, whereas fluorescent green signals with a clear border on the pleural surface were noted in 91.3% (21 of 23) of nodules in the nonintubated group and 88.9% (24 of 27) of nodules in the intubated group. Intraoperatively, the nonintubated group had a lower median pH (7.33 [interquartile range (IQR), 7.28-7.40] vs 7.41 [IQR, 7.38-7.44];
conclusionsNonintubated "one-stage" EMN-guided percutaneous ICG localization and uniportal VATS can be an option for selected patients undergoing treatment for small peripheral nodules.
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