Uniportal video-assisted thoracoscopic left upper lobectomy under spontaneous ventilation.
Intubated general anesthesia with one-lung ventilation was traditionally considered necessary for thoracoscopic major pulmonary resections. However, non-intubated thoracoscopic lobectomy can be performed by using conventional and uniportal video-assisted thoracoscopic surgery (VATS). These non-intubated procedures try to minimize the adverse effects of tracheal intubation and general anesthesia but these procedures must only be performed by experienced anesthesiologists and skilled thoracoscopic surgeons. Here we present a video of a uniportal VATS left upper lobectomy in a non-intubated patient, maintaining the spontaneous ventilation.
1 Minimally Invasive Thoracic Surgery Unit (UCTMI), San Rafael Hospital, Coruña, Spain ; 2 Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain ; 3 Department of Anesthesia, San Rafael Hospital, Coruña, Spain.
Diego
D
Gonzalez-Rivas
1 Minimally Invasive Thoracic Surgery Unit (UCTMI), San Rafael Hospital, Coruña, Spain ; 2 Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain ; 3 Department of Anesthesia, San Rafael Hospital, Coruña, Spain.
Ricardo
R
Fernandez
1 Minimally Invasive Thoracic Surgery Unit (UCTMI), San Rafael Hospital, Coruña, Spain ; 2 Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain ; 3 Department of Anesthesia, San Rafael Hospital, Coruña, Spain.
Mercedes
M
de la Torre
1 Minimally Invasive Thoracic Surgery Unit (UCTMI), San Rafael Hospital, Coruña, Spain ; 2 Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain ; 3 Department of Anesthesia, San Rafael Hospital, Coruña, Spain.
Cesar
C
Bonome
Non-intubated patient; awake surgery; lobectomy; single-port video-assisted thoracoscopic surgery (VATS); spontaneous ventilation; uniportal