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Related Experiment Video

Updated: Jan 3, 2026

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

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

Published on: May 26, 2023

Nonintubated Video-Assisted Wedge Resections in Peripheral Lung Cancer.

Vincenzo Ambrogi¹, Riccardo Tajè², Tommaso Claudio Mineo³

¹Department of Surgical Sciences, Tor Vergata University, Via Montpellier 1, Rome 00133, Italy; Division of Thoracic Surgery, Tor Vergata University Policlinic, Viale Oxford 81, Rome 00133, Italy.

Thoracic Surgery Clinics

|November 26, 2019

Summary

Wedge resection using nonintubated anesthesia offers a safe alternative for frail lung cancer patients. This approach reduces trauma and costs, potentially improving long-term oncologic outcomes.

Keywords:

Lung cancer Nonintubated thoracic surgery VATS

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Published on: August 2, 2024

Area of Science:

Thoracic Surgery
Anesthesiology
Oncology

Background:

Wedge resection for peripheral lung cancer is often suboptimal.
Elderly or frail patients present challenges for surgical treatment.

Purpose of the Study:

To evaluate the safety and efficacy of nonintubated anesthesia for wedge resection in peripheral lung cancer.
To assess the benefits of nonintubated anesthesia in elderly/frail patients.

Main Methods:

Wedge resection performed under nonintubated anesthesia.
Patient selection included elderly and/or frail individuals.
Comparison with traditional anesthesia and computed tomography-guided biopsy.

Main Results:

Nonintubated anesthesia is a reliable and safer alternative for select patients.
Reduced lung trauma, operative time, and hospital stay observed.
Potential for less immunologic impairment and improved long-term oncologic results.

Conclusions:

Nonintubated anesthesia facilitates wedge resection in marginal surgical candidates.
This technique offers advantages in terms of patient recovery and cost-effectiveness.
Nonintubated anesthesia may enhance diagnostic effectiveness for peripheral lung lesions.