Related Experiment Video
Updated: Feb 15, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Video-assisted thoracic surgery micro pneumonectomy, a new approach
Mohamed Moneer ElSaegh1, Nur Aziah Ismail1, Jacqueline Gordon1
1Department of Cardiothoracic Surgery, The James Cook University Hospital, Middlesbrough, UK.
Background:
Video-assisted thoracic surgery (VATS) pneumonectomy is normally limited due to the difficulty to remove the whole lung via the utility incision. We present our technique of VATS pneumonectomy, this we call micropneumonectomy.
Methods:
A 75-year-old male current smoker with a right hilar mass, invading both upper and lower lobe bronchi to segmental level on CT scan and PET scan, pathology from CT guided biopsy showed squamous cell carcinoma. The patient had a mediastinoscopy just prior to pneumonectomy, primarily to remove station 7 lymph nodes and to mobilize the carina to facilitate the VATS pneumonectomy.
Results:
Smooth postoperative course, and patient was fit for discharge two and half days post operatively.
Conclusions:
Our technique showed an effective way of doing pneumonectomy via VATS technique, which expands the use of VATS technique into pneumonectomies, with three intercostals incisions smaller than 5 mm, in addition to a single sub-xiphoid incision which can take 12 mm instruments.
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