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.
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