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Related Experiment Video

Updated: Nov 9, 2025

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

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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.

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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.