Related Experiment Video
Updated: Mar 26, 2026
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Radical resection of right upper lung cancer using uniportal video-assisted thoracic surgery with non-intubated
Wei Wang1, Guilin Peng1, Zhihua Guo1
11 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Background:
Presently, the clinical effect of radical video-assisted thoracic surgery (VATS) is equal to that of traditional open chest surgery and has received worldwide recognition of its advantages: less trauma and faster recovery. In the attempt to further the advancement of minimally invasive surgery the operative techniques of uniportal VATS and non-intubated anesthesia have been developed. These techniques have been widely applied in hospitals around the world, however there are few reports on the combined use of these techniques: non-intubated uniportal VATS.
Methods:
We report a case of peripheral lung cancer in the right-upper-lobe for which a non-intubated uniportal VATS resection was performed. This method was chosen as a result of the small size of the lesion and the placement in the right upper lobe.
Results:
The postoperative course of this patient was good. Pathological results indicated infiltrating adenocarcinoma of the right upper lobe; there was no metastasis in hilar or mediastinal lymph nodes. Pathology results of the stump of the bronchus and vessels were also negative.
Conclusions:
Uniportal VATS with non-intubated anesthesia was a feasible and safe option for this patient, and may be an alternative minimally invasive option for patients with peripheral lung cancer.
