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Updated: Feb 22, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Management of Intraoperative Difficulties During Uniportal Video-Assisted Thoracoscopic Surgery
Marco Scarci1, Diego Gonzalez-Rivas2, Joachim Schmidt3
1Department of Thoracic Surgery, University College London Hospitals, 15-18 Westmoreland Street, London W1G 8PH, UK.
Abstract:
The learning curve of the uniportal video-assisted thoracoscopic surgery (VATS) approach is linked to a larger rate of intraoperative complications, which can lead to an emergency conversion to thoracotomy. Despite technical advancements and the large number of surgical videos posted on specialized websites, live surgery events and experimental courses have significantly contributed to accelerate the learning and evolution of minimally invasive thoracic surgery. Bleeding and other complications are the most dreaded event for many VATS surgeons. This article analyzes possible major intraoperative complications during uniportal VATS and explains how to manage them effectively and safely.
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