Comparison of non-intubated versus intubated video-assisted thoracoscopic lobectomy for lung cancer

Journal of Thoracic Disease
Zeead M AlGhamdiSook Whan Sung

Abstract

Non-intubated, or awake, video-assisted thoracoscopic surgery has been implemented for non-anatomical lung resection and the results obtained were encouraging to consider the approach for anatomical pulmonary resection. This study was conducted to evaluate the perioperative outcomes of the non-intubated and intubated video-assisted thoracoscopic lobectomy in lung cancer in regards to feasibility and safety. A retrospective analysis of 62 consecutive video-assisted thoracoscopic lobectomies (31 lobectomies as non-intubated, 31 lobectomies as intubated) performed in Seoul St. Mary's Hospital, The Catholic University of Korea between January and December 2016. Both groups share comparable clinical characteristics including the age, sex, BMI, FEV1, DLCO, smoking history, lung lobes procedure, histological type and pathological staging. There was no difference in the mean of postoperative hospitalization period (6.9 versus 7.6 days, P=0.578) and the total chest tube duration (5.6 versus 5.4 days, P=0.943) between non-intubated and intubated lobectomy respectively. Both groups had a comparable surgical outcome for the anesthesia duration, operative time, blood loss and postoperative complications. The operative time required for lobe...Continue Reading

Citations

Nov 8, 2018·The Korean Journal of Thoracic and Cardiovascular Surgery·Seha AhnSook Whan Sung
Oct 13, 2019·General Thoracic and Cardiovascular Surgery·Wan-Ting HungJin-Shing Chen
Jun 27, 2019·The Korean Journal of Thoracic and Cardiovascular Surgery·June LeeSook Whan Sung
Nov 15, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yaokai WenJianxing He
Sep 13, 2020·Interactive Cardiovascular and Thoracic Surgery·Elena PrisciandaroLorenzo Spaggiari
Feb 19, 2020·Regional Anesthesia and Pain Medicine·Chitaru KuriharaAnkit Bharat
Nov 12, 2020·Zentralblatt für Chirurgie·Christoph SponholzMatthias Steinert
Jan 13, 2021·General Thoracic and Cardiovascular Surgery·József Furák, Zsolt Szabó
Aug 29, 2020·The Annals of Thoracic Surgery·Hao-Yun LiuJin-Shing Chen
Aug 23, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Chuqiao WangJianxing He

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