1000 cases of tubeless video-assisted thoracic surgery at the Rome Tor Vergata University.
In the early 2000s, the 'Awake Thoracic Surgery Research Group' at Tor Vergata University began a program of thoracic operations in awake nonintubated patients. To our knowledge this was the first program created with this specific purpose. Since then over 1000 tubeless operations have been carried out successfully, making this series one of the widest in the world. Both nononcologic and oncologic conditions were successively approached and major operations for lung cancer are now being performed. Uniportal access was progressively adopted with significant positive outcomes in postoperative recovery, patient acceptance and economical costs. Failure rates due to patient's intolerance and open surgery conversion are progressively reducing. Tubeless thoracic surgery can be accomplished in a safe manner with effective results.
Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy.
Tommaso C
TC
Mineo
Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy.
Alessandro
A
Tamburrini
Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy.
Gianluca
G
Perroni
Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy.|Chief of the Minimally Invasive Thoracic Surgery Unit, Policlinico Tor Vergata, Rome, Italy.
Vincenzo
V
Ambrogi
D000758:Anesthesia / Q000379:methods*; D004646:Emphysema / Q000601:surgery; D016724:Empyema, Pleural / Q000601:surgery; D006801:Humans; D007558:Italy; D017563:Lung Diseases, Interstitial / Q000175:diagnosis / Q000601:surgery; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery; D016066:Pleural Effusion, Malignant / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods; D011030:Pneumothorax / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000379:methods*; D017211:Treatment Failure; D016896:Treatment Outcome; D014495:Universities
VATS; intercostal block; thoracic epidural anesthesia; thoracic surgery