| Application of non-intubated video-assisted thoracoscopic surgery in non-anatomic pulmonary resection |
| Received:December 10, 2021 Revised:July 18, 2022 Click here to download the full text |
| Citation of this paper:WEI Shen-hai,TIAN Yu-lin,WU Bing-qun,HU Peng-cheng,TIAN Jin-tao,SONG Xiao-ping.Application of non-intubated video-assisted thoracoscopic surgery in non-anatomic pulmonary resection[J].Chinese Journal of Clinical Medicine,2022,29(5):853-856 |
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| Author Name | Affiliation | | WEI Shen-hai | Deartment of Thoracic Surgery, the First Hospital of Tsinghua University, Beijing 100016, China | | TIAN Yu-lin | Department of Anesthesiology, the First Hospital of Tsinghua University, Beijing 100016, China | | WU Bing-qun | Deartment of Thoracic Surgery, the First Hospital of Tsinghua University, Beijing 100016, China | | HU Peng-cheng | Deartment of Thoracic Surgery, the First Hospital of Tsinghua University, Beijing 100016, China | | TIAN Jin-tao | Deartment of Thoracic Surgery, the First Hospital of Tsinghua University, Beijing 100016, China | | SONG Xiao-ping | Deartment of Thoracic Surgery, the First Hospital of Tsinghua University, Beijing 100016, China |
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| Abstract:Objective To explore the application effect of non-intubated video-assisted thoracoscopic surgery (NIVATS) on non-anatomic pulmonary resection. Methods The patients who underwent NIVATS for non-anatomic pulmonary resection from May 2017 to Octomber 2021 in the First Hospital of Tsinghua University were retrospectively included. During the operation, patients maintained spontaneous breath without intubated general anesthesia. Thoracic epidural block or intercostal nerve block was used as an analgesic method. Propofol and remifentanil were used to control breathing and keep sedation. Results Totally, 28 patients undergoing NIVATS for non-anatomic pulmonary resection were included. 24 of the patients underwent bullectomy, 3 of wedge resection for nodule, and 1 of bullectomy combined wedge resection for nodule. No patient transfer to tracheal intubation anesthesia or thoracotomy. All the patients recovered uneventfully except for an 80-year-old patient suffering from heart failure after surgery. Conclusion NIVATS is safe and assured for non-anatomic pulmonary resection with simple operation and patients recovered quickly, is worthy of promotion. |
| keywords:video-assisted thoracoscopic surgery non-intubated video-assisted thoracoscopic surgery non-anatomic pulmonary resection |
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