Nonintubated thoracoscopic surgery for early-stage non-small cell lung cancer

  • Wan-Ting Hung
  • Ya-Jung Cheng
  • Jin-Shing ChenEmail author
Special Edition Diagnosis and Treatment for Early Stage Non-small Cell Lung Cancer



Recent advances in the management of early-stage non-small cell lung cancer have focused on less invasive anesthetic and surgical techniques. Video-assisted thoracoscopic surgery without tracheal intubation is an evolving technique to provide a safe alternative with less short-term complication and faster postoperative recovery. The purpose of this review was to explore the latest developments and future prospects of nonintubated thoracoscopic surgery for early lung cancer.


We examined various techniques and surgical procedures as well as the outcomes and benefits.


The results indicated a new era of video-assisted thoracoscopic surgery in which there is reduced procedure-related injury and enhanced postoperative recovery for lung cancer.


Nonintubated thoracoscopic surgery is a safe and feasible minimally invasive alternative surgery for early non-small cell lung cancer. Faster recovery and less short-term complication are potential benefits of this approach.


Non-small cell lung cancer Nonintubated thoracoscopic surgery Awake thoracoscopic surgery Anesthesia Video-assisted thoracoscopic surgery 


Compliance with ethical standards

Conflict of interest

All authors have no conflict of interest.


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Copyright information

© The Japanese Association for Thoracic Surgery 2019

Authors and Affiliations

  • Wan-Ting Hung
    • 1
  • Ya-Jung Cheng
    • 2
    • 3
  • Jin-Shing Chen
    • 1
    • 3
    Email author
  1. 1.Division of Thoracic Surgery, Department of SurgeryNational Taiwan University HospitalTaipeiTaiwan
  2. 2.Department of AnesthesiologyNational Taiwan University HospitalTaipeiTaiwan
  3. 3.National Taiwan University College of MedicineTaipeiTaiwan

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