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Updated: Feb 3, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Handling vascular bleeding without conversion during video-assisted thoracoscopic surgery major pulmonary resection
Chenglin Guo1,2, Jiandong Mei1,2, Lin Ma1,2
1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Abstract:
Bleeding due to vascular injury is the most troublesome and dangerous condition during video-assisted thoracoscopic surgery (VATS) major pulmonary resection. It is also the main reason for emergent conversion to open thoracotomy and remains a great challenge for thoracic surgeons. We designed the suction-compressing angiorrhaphy technique (SCAT) for troubleshooting this problem. Handling of the vascular injury under VATS was divided into three different situations. Herein, three typical videos were presented to elucidate the technical details for the management of vital vascular bleeding during VATS major pulmonary resection.
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