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Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
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Nonintubated Uniportal Thoracoscopic Thymectomy with Laryngeal Mask

Zhengcheng Liu1, Rusong Yang1, Yang Sun2

  • 1Department of Thoracic Surgery, Nanjing Chest Hospital, Nanjing, China.

The Thoracic and Cardiovascular Surgeon
|September 16, 2019
PubMed

Insights

Nonintubated uniportal thoracoscopic thymectomy using a laryngeal mask offers faster recovery and fewer complications compared to intubated methods. This approach is feasible for anterior mediastinum lesions, improving patient outcomes.

Area of Science:

  • Thoracic Surgery
  • Anesthesiology
  • Minimally Invasive Surgery

Background:

  • Uniportal thoracoscopic thymectomy is a minimally invasive approach for anterior mediastinum masses.
  • Anesthesia choice, specifically laryngeal mask versus double-lumen tube intubation, may impact postoperative outcomes.

Purpose of the Study:

  • To compare postoperative outcomes between nonintubated uniportal video-assisted thoracoscopic surgery (NU-VATS) with laryngeal mask anesthesia and intubated uniportal video-assisted thoracoscopic surgery (IU-VATS) with double-lumen tube anesthesia.
  • To evaluate the feasibility and efficacy of nonintubated uniportal thoracoscopic thymectomy for anterior mediastinum lesions.

Main Methods:

  • Retrospective analysis of 96 patients undergoing NU-VATS and 129 patients undergoing IU-VATS for anterior mediastinum mass from December 2013 to December 2017.
  • Both groups underwent a single, small incision (median 3 cm) for complete thymectomy.
  • Perioperative outcomes, including operative time, SpO2, end-tidal CO2, chest tube duration, hospital stay, oral fluid intake, and complication rates, were compared.

Main Results:

  • No significant difference in lowest SpO2 or mean operative time (61 minutes).
  • NU-VATS group showed higher peak end-tidal CO2 but significantly faster time to oral fluid intake (p < 0.01).
  • NU-VATS group experienced significantly fewer complications, including sore throat, nausea, irritable cough, and urinary retention.

Conclusions:

  • Nonintubated uniportal thoracoscopic thymectomy with laryngeal mask anesthesia is a feasible and effective approach for anterior mediastinum lesions.
  • This technique leads to faster patient recovery and a reduced incidence of postoperative complications compared to the intubated method.
Abstract

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