Abstract
Introduction: The study aimed to evaluate the initial results of uniportal non-intubated thoracoscopic surgery for treatment of thoracic diseases at the VietDuc University Hospital.
Material and Methods:A descriptive study of 17 patients with intrathoracic diseases were treated with uniportal non-intubated thoracoscopic surgery from 02/2019 to 07/2019. The data of pre-peri and post – operative were recorded.
Results: There were 04 men and 13 women, mean age was 49,2 ± 20,5 (06 –71). The average BMI: 21,48 ± 2,14 kg/ m2(15,39 – 23,93). Surgical techniques: GGO (Wedge resection): 03 (17,6%); Bullous lung disease (Wedge resection): 01 (5,9%); Mediastinal tumor (resection): 08 (47,1%); NSLC (lobectomy
- dissection node): 05 (29,4%). The average operative time: 108,6 ± 28,17 minutes (60 – 160). The average drainage time was 3,7 ± 1,18 days (2 – 8). The average hospitalization time was 4,9 ± 1,76 days (3 – 12). No mortality and major complications after operation was recorded.
Conclusion: Treatment of thoracic diseases with uniportal non-intubated thoracoscopic surgery is a safe, feasible, and well-tolerated .
Keyword: Uniportal thoracoscopic surgery, nonintubated ventilation.
References
- Rocco G, Martucci N, La Manna C, Jones DR, De Luca G, La Rocca A et al (2013), Ten-year experience on 644 patients undergoing single-port (uniportal) video-assisted thoracoscopic surgery, Ann Thorac Surg 96:434–8
- Hung WT, Hung MH, Wang ML, Cheng YJ, Hsu HH, Chen JS (2019), “Nonintubated Thoracoscopic Surgery for Lung Tumor: Seven Years’ Experience with 1025 Cases”, Ann Thorac Surg Feb 11. pii: S0003-4975(19)30190-0.
- Ming-Hui Hung, Hsao-Hsun Hsu, Kuang-Cheng Chan, Ke-Cheng Chen, Jr-Chi Yie, Ya-Jung Cheng and Jin-Shing Chen (2014), “Non-intubated thoracoscopic surgery using internal intercostal nerve block, vagal block and targeted sedation”, European Journal of Cardio-Thoracic Surgery; 46: 620 – 625
- Diego Gonzalez-Rivas, Eva Fieira, Maria Delgado1, Lucia Mendez, Ricardo Fernandez, Mercedes de la Torre (2013), “Uniportal video-assisted thoracoscopic lobectomy”, J Thorac Dis; 5(S3): 234 – 245
- Luca Bertolaccini, Gaetano Rocco, Andrea Viti, Alberto Terzi (2013), “Geometrical characteristics of uniportal VATS”, J Thorac Dis; 5(S3): S214 – S216.
- Ricardo Fernndez Prado, Eva Fieira Costa, María Delgado Roel, Lucía Mndez Fernndez1, Marina Paradela de la Morena, Mercedes de la Torre, Diego Gonzalez-Rivas (2014), “Management of complications by uniportal video-assisted thoracoscopic surgery”, J Thorac Dis; 6(S6): S669 – S673
- Calvin S.H. Ng, Gaetano Rocco, Randolph H.L. Wonga, Rainbow W.H. Lau, Simon C.H. Yuc and Anthony P.C. Yim (2014), “Uniportal and single-incision video-assisted thoracic surgery: the state of the art”, Interactive CardioVascular and Thoracic Surgery; 19: 661 – 666
- Ming-Hui Hung, Hsao-Hsun Hsu, Ya-Jung Cheng, Jin-Shing Chen (2014), “Nonintubated thoracoscopic surgery: state of the art and future directions”, J Thorac Dis; 6(1): 2 – 9
- Qinglong Dong, Lixia Liang, Yingfen Li, Jun Liu, Weiqiang Yin, Hanzhang Chen, Xin Xu, Wenlong Shao, Jianxing He (2012), “Anesthesia with nontracheal intubation in thoracic surgery”, J Thorac Dis; 4(2): 126 – 130
- Alan D. L. Sihoe (2014), “The evolution of minimally invasive thoracic surgery: implications for the practice of uniportal thoracoscopic surgery”, J Thorac Dis; 6(S6): S604 – S617
- Jae Ho Chung, Yong Soo Choi, Jong Ho Cho, Hong Kwan Kim, Jhingook Kim, Jae Ill Zo, Young Mog Shim (2015), “Uniportal video-assisted thoracoscopic lobectomy: an alternative to conventional thoracoscopic lobectomy in lung cancer surgery?”. Interact CardioVasc Thorac Surg 20 (6): 813 – 819
- Rocco Gaetano (2012), One-port(uniportal) video-assisted thoracic surgical resections: A clear advance, J Thorac Cardiovasc Surg; 144: S27 – 31
- Galvez C, Navarro-Martinez J, Bolufer S, Lirio F, Sesma J, Corcoles JM (2017), “Nonintubated uniportal VATS pulmonary anatomical resections”, J Vis Surg; 3: 120
- Seha Ahn, Youngkyu Moon, Zeead M. AlGhamdi, Sook Whan Sung (2018), “Nonintubated Uniportal Video-Assisted Thoracoscopic Surgery: A Single-Center Experience”, Korean J Thorac Cardiovasc Surg;51: 344 – 349