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Related Experiment Video

Updated: Feb 14, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Uniportal non-intubated thoracic surgery.

Benedetta Bedetti1, Davide Patrini2, Luca Bertolaccini3

  • 1Department of Thoracic Surgery, Malteser Hospital, Bonn, Germany.

Journal of Visualized Surgery
|February 16, 2018
PubMed
Summary

Non-intubated uniportal video-assisted thoracoscopic surgery (VATS) allows spontaneous breathing during procedures, avoiding general anesthesia. This minimally invasive technique is increasingly used for minor surgeries and shows potential for major procedures, benefiting high-risk patients.

Keywords:
Non-intubatedawakethoracic surgeryuniportal

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Procedures
  • Anesthesiology

Background:

  • Uniportal video-assisted thoracoscopic surgery (VATS) represents an advancement in minimally invasive thoracic surgery.
  • Enhanced recovery programs aim to optimize patient outcomes, reduce hospital stays, and lower costs.
  • Non-intubated VATS maintains spontaneous breathing, eliminating the need for general anesthesia and intubation.

Purpose of the Study:

  • To explore the growing application and potential benefits of non-intubated uniportal VATS.
  • To assess the feasibility of non-intubated VATS for both minor and major thoracic procedures.
  • To highlight the potential advantages for high-risk surgical candidates.

Main Methods:

  • Review of current practices and emerging data on non-intubated uniportal VATS.
  • Discussion of the technique's principle: creating a spontaneous pneumothorax for lung isolation.
  • Survey of European Society of Thoracic Surgeons (ESTS) members regarding current non-intubated VATS use.

Main Results:

  • Non-intubated VATS is already utilized by many ESTS members for minor procedures.
  • The technique facilitates spontaneous breathing without a double lumen tube.
  • The application of non-intubated VATS for major procedures is anticipated to increase.

Conclusions:

  • Non-intubated uniportal VATS is a promising evolution in minimally invasive thoracic surgery.
  • Further research is needed to establish definitive benefits for routine and high-risk patient groups.
  • This technique offers potential advantages in patient recovery and cost-effectiveness.