title: Radical resection of right upper lung cancer using uniportal video-assisted thoracic surgery with non-intubated anesthesia.
abstract: BACKGROUND
  Presently, the clinical effect of radical video-assisted thoracic surgery (VATS) is equal to that of traditional open chest surgery and has received worldwide recognition of its advantages: less trauma and faster recovery. In the attempt to further the advancement of minimally invasive surgery the operative techniques of uniportal VATS and non-intubated anesthesia have been developed. These techniques have been widely applied in hospitals around the world, however there are few reports on the combined use of these techniques: non-intubated uniportal VATS.
  
  
  METHODS
  We report a case of peripheral lung cancer in the right-upper-lobe for which a non-intubated uniportal VATS resection was performed. This method was chosen as a result of the small size of the lesion and the placement in the right upper lobe.
  
  
  RESULTS
  The postoperative course of this patient was good. Pathological results indicated infiltrating adenocarcinoma of the right upper lobe; there was no metastasis in hilar or mediastinal lymph nodes. Pathology results of the stump of the bronchus and vessels were also negative.
  
  
  CONCLUSIONS
  Uniportal VATS with non-intubated anesthesia was a feasible and safe option for this patient, and may be an alternative minimally invasive option for patients with peripheral lung cancer.
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Guilin
authors.initials: G
authors.lastname: Peng
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Zhihua
authors.initials: Z
authors.lastname: Guo
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Lixia
authors.initials: L
authors.lastname: Liang
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Qinglong
authors.initials: Q
authors.lastname: Dong
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Jianxing
authors.initials: J
authors.lastname: He
authors.affiliation: 1 Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Diseases & China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Respiratory Disease Clinical Research Center, Guangzhou 510000, China ; 4 Department of Anesthesiology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
authors.forename: Weiqiang
authors.initials: W
authors.lastname: Yin
keywords: Uniportal video-assisted thoracic surgery (VATS); lobectomy; non-intubated anesthesia