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Updated: Jan 24, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Evolution of Video Assisted Thoracoscopic Surgery in the Caribbean
Alan Smith1, Ian Ramnarine2, Patrice Pinkney3
1University of the West Indies, Cave Hill Campus, Consultant Cardiothoracic Surgeon, The Queen Elizabeth Hospital, Barbados.
Abstract:
Video Assisted Thoracoscopic Surgery (VATS) has become the mainstay of thoracic procedures in developed countries. The benefits of VATS over a thoracotomy, and its equivalency in oncologic resections has been clearly established. The introduction of this minimally invasive approach to thoracic surgery to the Caribbean has been a slow progression. The main restrictions to the full implantation of VATS in the resource poor Caribbean setting has been obtaining material resources, developing the necessary human resources, and the small case loads. Each territory has adopted its own innovative approach to getting VATS programmes started. We review the current status of VATS in the English speaking Caribbean.
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