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Updated: Mar 27, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Non-intubated uniportal lung surgery†.

Gaetano Rocco1

  • 1Division of Thoracic Surgery, Department of Thoracic Surgical and Medical Oncology, Istituto Nazionale Tumori, Fondazione Pascale, IRCCS, Naples, Italy g.rocco@istitutotumori.na.it.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 15, 2016
PubMed
Summary

Uniportal video-assisted thoracoscopic surgery (uniVATS) offers reduced morbidity and hospital stays. Combining uniVATS with awake anesthesia can enable more outpatient thoracic procedures.

Keywords:
Awake surgeryNon-intubatedSingle portThoracoscopyUniportal

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Anesthesiology

Background:

  • Uniportal video-assisted thoracoscopic surgery (uniVATS) is a minimally invasive technique for intrathoracic conditions.
  • uniVATS offers advantages over traditional multiport VATS, including lower morbidity and shorter hospital stays.
  • Loco-regional anesthesia in awake patients can further enhance uniVATS benefits.

Purpose of the Study:

  • To review the organizational and technical aspects of implementing a non-intubated uniVATS program.
  • To explore the potential of expanding thoracic surgical procedures in an outpatient setting.
  • To highlight the integration of anesthesia techniques with minimally invasive thoracic surgery.

Main Methods:

  • Literature review of existing uniVATS programs and anesthetic techniques.
  • Analysis of organizational requirements for outpatient thoracic surgery.
  • Discussion of technical considerations for non-intubated uniVATS.

Main Results:

  • Non-intubated uniVATS programs are feasible with careful planning.
  • Integration of loco-regional anesthesia is key to enabling awake thoracic procedures.
  • Outpatient thoracic surgery is increasingly achievable with these combined approaches.

Conclusions:

  • Non-intubated uniVATS programs represent a significant advancement in thoracic surgery.
  • This approach enhances patient recovery and expands the scope of outpatient surgical care.
  • Further development and implementation of these programs are warranted.