Related Experiment Video
Updated: Sep 17, 2025
Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Awake videothoracoscopic anatomic lung resections for non-small cell lung cancer under thoracic paravertebral block:
Uğur Temel1, Onur Derdiyok1, Mehmet Oğuzhan Özyurtkan2
1Department of Thoracic Surgery, Hamidiye Etfal Training and Research Hospital, Kazım Karabekir Paşa, Bahçeköy Cd., Sarıyer, İstanbul, 34453, Turkey.
Background:
To report our surgical experience with awake video-assisted thoracoscopic surgery (VATS) anatomical lung resections under thoracic paravertebral block (TPB) in patients with non-small cell lung cancer (NSCLC).
Methods:
This retrospective, single-center study included patients undergoing awake biportal VATS anatomical pulmonary resections due to NSCLC under TPB. Patients accepted the awake approach either voluntarily despite being suitable for general anesthesia (low-risk) or since they were found unsuitable for general anesthesia (high-risk). Our results were compared with literature data.
Results:
Twenty-nine patients (20 risky and and 9 normal patients) underwent 25 lobectomies and 4 segmentectomies. Surgery time was 110 ± 15 min. Morbidity rate was 6.78%. Mean chest tube duration was 2.2 ± 1.5 days and mean hospital stay duration was 3.4 ± 1.2 days. We obtained shorter surgery time and length of hospital stay compared to previous data.
Conclusion:
Biportal VATS anatomical lung resections for NSCLC can be performed safely under TPB in awake patients. TPB may result in shorter duration of operative times and length of hospital stay compared to TEA and intercostal nerve block.
Related Concept Videos
01:26Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...