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Related Experiment Video

Updated: Feb 4, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

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[Thoracoscopic Surgery].

Hiroyuki Oizumi1

  • 1Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 13, 2018
PubMed
Summary
This summary is machine-generated.

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Thoracoscopic surgery is widely used for lung cancer in Japan, with over 70% of operations performed this way. However, long-term outcomes and training for new techniques remain unclear.

Area of Science:

  • General Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Thoracoscopic devices are integral to modern general thoracic surgery.
  • Over 30 years, indications for thoracoscopic surgery have expanded to include malignant neoplasms.
  • More than 70% of lung cancer surgeries in Japan now utilize thoracoscopy.

Purpose of the Study:

  • To highlight the widespread adoption of thoracoscopic surgery for lung cancer in Japan.
  • To address the lack of clarity regarding the long-term outcomes of various minimally invasive surgical options.
  • To identify challenges in training younger surgeons on novel thoracoscopic techniques due to limited high-volume centers.

Main Methods:

  • Review of existing literature on thoracoscopic surgery advancements.

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  • Analysis of current trends in lung cancer surgical procedures in Japan.
  • Discussion of emerging techniques such as uniportal, non-intubated, robotic, and needlescopic approaches.

    • Main Results:

    • Thoracoscopic surgery is the predominant method for lung cancer operations in Japan (>70%).
    • A variety of advanced techniques (uniportal, non-intubated, robotic, needlescopic) are available.
    • Long-term outcome data for these diverse minimally invasive options are insufficient.
    • Training programs for new surgeons lack exposure to these novel methods.

    Conclusions:

    • While thoracoscopic surgery is standard for lung cancer in Japan, long-term outcome data are needed.
    • The development of specialized training systems is crucial for disseminating knowledge of advanced thoracoscopic techniques.
    • Addressing training gaps is essential for the future of minimally invasive thoracic surgery.