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Updated: Feb 20, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Three-dimensional video-assisted thoracic surgery for pulmonary resections: an update
Duilio Divisi1, Mirko Barone1, Roberto Crisci1
1Department of Thoracic Surgery, "G. Mazzini" Hospital, University of L'Aquila, Piazza Italia 1, Teramo, Italy.
3D Video-Assisted Thoracic Surgery (VATS) offers improved visualization for lung excision compared to 2D VATS. This technique is a valuable aid in minimally-invasive surgery, especially where robotic systems are unavailable.
Area of Science:
- Thoracic Surgery
- Minimally-Invasive Surgery
- Surgical Imaging
Background:
- Two-dimensional (2D) imaging in Video-Assisted Thoracic Surgery (VATS) presents challenges in assessing lesion characteristics.
- Robot-assisted thoracic surgery (RATS) has improved technical aspects but faces accessibility issues in developing regions.
Purpose of the Study:
- To evaluate the current state of three-dimensional (3D) VATS for lung excision.
- To analyze literature experiences regarding 3D VATS in thoracic surgery.
Main Methods:
- Literature review of studies on 3D VATS for lung excision.
- Analysis of reported experiences and outcomes with 3D VATS.
Main Results:
- 3D VATS provides enhanced visualization and spatial understanding compared to 2D VATS.
- It serves as a valuable tool for thoracic surgeons in minimally-invasive procedures.
Conclusions:
- 3D VATS is a significant advancement for lung excision, offering benefits over traditional 2D imaging.
- It represents a cost-effective aid for minimally-invasive thoracic surgery, complementing but not replacing robotic systems.
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