Related Experiment Video
Updated: Apr 21, 2026
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Non-intubated complete thoracoscopic bronchial sleeve resection for central lung cancer
Wenlong Shao1, Kevin Phan1, Xiaotong Guo1
11 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Department of Surgery, Guangzhou Institute of Respiratory Diseases, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 The Collaborative Research (CORE) Group, Macquarie University Hospital, New South Wales, Australia ; 5 Department of Thoracic Surgery, Second Affiliated Hospital of Harbin Medical University, Harbin 15000, China ; 6 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Abstract:
Bronchial sleeve resection has emerged as an effective thoracoscopic approach for central lung cancer with reduced operation mortality rates, optimal lung function and long-term survival. Endobronchial intubation is a commonly used method of anesthesia for such thoracoscopic procedures, but is associated with increased intubation-related and lung complications. Non-intubated epidural anesthesia represents an alternative approach which may avoid such difficulties, particularly in complicated sleeve resection situations. Here we have described a case of complete endoscopic bronchial sleeve resection of right lower lung cancer under non-intubated epidural anesthesia.
