Non-intubated Video-assisted Thoracic Surgery: Where Does Evidence Stand?

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2016 May 20

PMID 27195134

Citations 32

Authors

Federico Tacconi

Eugenio Pompeo

Affiliations

Soon will be listed here.

Abstract

In recent years, non-intubated video-assisted thoracic surgery (NIVATS) strategies are gaining popularity worldwide. The main goal of this surgical practice is to achieve an overall improvement of patients' management and outcome thanks to the avoidance of side-effects related to general anesthesia (GA) and one-lung ventilation. The spectrum of expected benefits is multifaceted and includes reduced postoperative morbidity, faster discharge, decreased hospital costs and a globally reduced perturbation of patients' well-being status. We have conducted a literature search to evaluate the available evidence on this topic. Meta-analysis of collected results was also done where appropriate. Despite some fragmentation of data and potential biases, the available data suggest that NIVATS operations can reduce operative morbidity and hospital stay when compared to equipollent procedures performed under GA. Larger, well designed prospective studies are thus warranted to assess the effectiveness of NIVATS as far as to investigate comprehensively the various outcomes. Multi-institutional and multidisciplinary cooperation will be welcome to establish uniform study protocols and to help address the questions that are to be answered yet.

Citing Articles

Case report: Simultaneous resections of pulmonary segment and an esophageal leiomyoma during spontaneous ventilation video-assisted thoracoscopic surgery.

Ding Y, Shan L, Li P, Li N, Zhang H, Cong B Front Oncol. 2024; 14:1364306.

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Postoperative pulmonary complications in awake video-assisted thoracoscopic surgery: Our 10-year experience.

Turhan O, Sivrikoz N, Duman S, Kara M, Sungur Z Turk Gogus Kalp Damar Cerrahisi Derg. 2024; 32(1):75-83.

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Spontaneous Ventilation Thoracoscopic Lung Biopsy in Undetermined Interstitial Lung Disease: Systematic Review and Meta-Analysis.

Patirelis A, Elia S, Cristino B, Puxeddu E, Cavalli F, Rogliani P J Clin Med. 2024; 13(2).

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[Perioperative pain therapy in minimally invasive thoracic surgery].

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Nonintubated versus Intubated Lung Volume Reduction Surgery in Patients with End-Stage Lung Emphysema and Hypercapnia.

Akil A, Rehers S, Ziegeler S, Ernst E, Haselmann J, Dickgreber N J Clin Med. 2023; 12(11).

PMID: 37297944 PMC: 10253275. DOI: 10.3390/jcm12113750.

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