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Updated: Oct 1, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Simple smoke ventilation method for uniportal video-assisted thoracoscopic surgery
Yasushi Mizukami1, Ryunosuke Maki1, Hirofumi Adachi1
1Department of Thoracic Surgery, National Hospital Organization, Hokkaido Cancer Center, Hokkaido, Japan.
Fogging of thoracoscopic lenses hinders surgical views. A simple suction catheter technique improves visualization during uniportal video-assisted thoracoscopic surgery by clearing smoke and moisture.
Area of Science:
- Thoracic Surgery
- Surgical Technology
- Minimally Invasive Procedures
Background:
- Lens fogging obstructs visualization during thoracoscopic procedures.
- Uniportal video-assisted thoracoscopic surgery (UVATS) requires clear optics for safe operation.
- Maintaining a clear surgical field is crucial for effective minimally invasive surgery.
Purpose of the Study:
- To present a novel, cost-effective technique for managing lens fogging in UVATS.
- To improve surgical visualization by effectively removing smoke, mist, and moisture.
- To offer a practical solution for a common challenge in thoracoscopic surgery.
Main Methods:
- A simple, cost-effective surgical smoke ventilation technique using a suction catheter was developed.
- The technique was implemented during uniportal video-assisted thoracoscopic surgery.
- The method addresses the need for a dedicated suction instrument to clear the thoracoscopic lens.
Main Results:
- The described technique effectively clears surgical smoke, mist, and moisture.
- Improved surgical visualization was achieved, enhancing the operating field.
- The method is simple, easy to implement, and cost-effective.
Conclusions:
- This suction catheter technique provides a practical solution to thoracoscopic lens fogging in UVATS.
- The technique enhances surgical visualization and potentially reduces procedure costs.
- It offers a valuable addition to the armamentarium for thoracoscopic surgeons.
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