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Non-intubated Uniportal VATS Major Pulmonary Resections

  • Diego Gonzalez-RivasEmail author
  • Sonia Alvarado
  • César Bonome
Chapter

Abstract

Video-assisted thoracic surgery, initially developed and used only in minor procedures like biopsies or athipical resections, has been extended swiftly; and nowadays it is positioned as the first option for almost all procedures, like lobectomies or even pneumonectomies. In this field uniportal video-assisted thoracic surgery represents and excellent, minimally invasive strategy, allowing us to change our anesthesic management, evolving from the current standard management, which includes general anesthesia, intubation and one-lung ventilation, to spontaneous ventilation accompanied by different regional anesthesia techniques. We achieve with this new approach to reduce our patient’s trauma and postoperative pain caused both by more aggressive surgical techniques and more invasive anesthesia approaches; without compromising efficiency.

Supplementary material

Video 1

Non intubated uniportal anatomic apical segmentectomy (S1) (MP4 205421 kb)

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Diego Gonzalez-Rivas
    • 1
    • 2
    Email author
  • Sonia Alvarado
    • 3
  • César Bonome
    • 3
  1. 1.Department of Thoracic SurgeryShanghai Pulmonary Hospital, Tongji University School of MedicineShanghaiChina
  2. 2.Department of Thoracic Surgery and Minimally Invasive Thoracic Surgery Unit (UCTMI)Coruña University HospitalCoruñaSpain
  3. 3.Anesthesiology DepartmentUniversity Hospital La CoruñaLa CoruñaSpain

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