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Updated: Nov 9, 2025
05:39
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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VIDEO-ASSISTED THORACOSCOPIC SURGERY WITHOUT CHEST DRAIN PLACEMENT
Patrícia M Castro1, Susana Lareiro1, Joana Rei1
1Cardiothoracic Surgery Department, Centro Hospitalar Vila Nova de Gaia/Espinho, Portugal.
Summary
This study found that drainless video-assisted thoracoscopic surgery is safe and effective for selected patients. The drainless approach in thoracoscopic procedures offers a viable alternative to traditional chest drain placement.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Surgical Outcomes
Background:
- Chest drain placement is standard after thoracoscopic surgery.
- A drainless approach may be safe and feasible for select patients.
- This study reports clinical experience with drainless video-assisted thoracoscopic surgery.
Purpose of the Study:
- To evaluate the safety and feasibility of drainless video-assisted thoracoscopic surgery.
- To report clinical outcomes in patients undergoing this approach.
Main Methods:
- Retrospective analysis of 161 patients undergoing drainless video-assisted thoracoscopic surgery (2010-2019).
- Evaluation of preoperative, surgical, and immediate postoperative data.
- Descriptive statistics were used to analyze collected data.
Main Results:
- Procedures included thoracic sympathectomy (67.1%) and wedge resections (21.7%).
- Average length of stay was 1 day.
- Residual pneumothorax occurred in 9.3% of patients, with 2.5% requiring drain placement; no in-hospital mortality was observed.
Conclusions:
- Video-assisted thoracoscopic surgery without a postoperative chest drain is a safe and valid option.
- The drainless approach demonstrates favorable outcomes in selected thoracic surgical procedures.
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