ArticleJournal of thoracic disease2025
Effect of the tubeless approach on the non-operative lung in thoracic surgery: a retrospective cohort study.
Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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10 authors.
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Abstract
Background: Postoperative pulmonary complications (PPCs) remain one of the common challenges in video-assisted thoracic surgeries. While tubeless anesthesia using laryngeal mask has emerged as a fast-track recovery approach, offering multiple advantages for both lungs, such as reduced anesthetic dosage, avoidance of airway injury, and facilitation of surgical manipulation, its impact on the non-operative lung remains unclear. We aim to conduct a retrospective study based on computed tomography (CT) imaging. Methods: We included lung surgery cases from January 2020 to March 2025 at The First Affiliated Hospital of Guangzhou Medical University. Pre- Results: After screening 140,036 surgeries, 1,294 cases were eligible. Following 2:1 PSM, 427 patients in the intubated group were matched with 234 patients in the tubeless group. The tubeless group showed lower average airway pressures (peak: 19.39 Conclusions: Tubeless approach is associated with lower mechanical ventilation pressures and less overall image abnormalities, potentially protecting the non-operative lung. These findings suggest that tubeless approach has protective effect on the non-operative lung, contributing to the enhanced recovery after thoracic surgery.
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