Current overview of awake, non-intubated, video-assisted thoracic surgery

Awake video-assisted thoracoscopic surgery (A-VATS) enables the surgeon to penetrate the tissue via a small incision and with less contact between the lung and atmospheric pressure; postoperative respiratory functions are also less affected than in open surgery. A-VATS is a safer technique than trad...

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Main Author: Fazli Yanik
Format: Article
Language:English
Published: Medycyna Praktyczna 2023-06-01
Series:Videosurgery and Other Miniinvasive Techniques
Subjects:
Online Access:https://www.termedia.pl/Current-overview-of-awake-non-intubated-video-assisted-r-nthoracic-surgery,42,50833,1,1.html
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author Fazli Yanik
author_facet Fazli Yanik
author_sort Fazli Yanik
collection DOAJ
description Awake video-assisted thoracoscopic surgery (A-VATS) enables the surgeon to penetrate the tissue via a small incision and with less contact between the lung and atmospheric pressure; postoperative respiratory functions are also less affected than in open surgery. A-VATS is a safer technique than traditional VATS and non-intubated video-assisted thoracoscopic surgery (NI-VATS) because it does not require muscle relaxants and sedoanalgesics. In particular, diagnostic VATS for pleural effusions can be easily performed over a single port using only local anaesthetic. Anaesthesia-related risks increase even more for elderly patients and those with severe comorbidities. Although there are long and risky operations in thoracic surgery, general anaesthesia is not required for some thoracic surgery procedures. However, A-VATS is limited to minor procedures. Due to regional anaesthesia and sedation, NI-VATS is a safe and effective method for many indications. The results show that this method can be applied with low mortality and morbidity.
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spelling doaj-art-a8f110d68fd5485192562cff66671c962025-08-20T03:18:50ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542023-06-0118344545210.5114/wiitm.2023.12807050833Current overview of awake, non-intubated, video-assisted thoracic surgeryFazli YanikAwake video-assisted thoracoscopic surgery (A-VATS) enables the surgeon to penetrate the tissue via a small incision and with less contact between the lung and atmospheric pressure; postoperative respiratory functions are also less affected than in open surgery. A-VATS is a safer technique than traditional VATS and non-intubated video-assisted thoracoscopic surgery (NI-VATS) because it does not require muscle relaxants and sedoanalgesics. In particular, diagnostic VATS for pleural effusions can be easily performed over a single port using only local anaesthetic. Anaesthesia-related risks increase even more for elderly patients and those with severe comorbidities. Although there are long and risky operations in thoracic surgery, general anaesthesia is not required for some thoracic surgery procedures. However, A-VATS is limited to minor procedures. Due to regional anaesthesia and sedation, NI-VATS is a safe and effective method for many indications. The results show that this method can be applied with low mortality and morbidity.https://www.termedia.pl/Current-overview-of-awake-non-intubated-video-assisted-r-nthoracic-surgery,42,50833,1,1.htmlawake video-assisted thoracic surgery intubation thoracic anaesthesia
spellingShingle Fazli Yanik
Current overview of awake, non-intubated, video-assisted thoracic surgery
Videosurgery and Other Miniinvasive Techniques
awake video-assisted thoracic surgery
intubation
thoracic
anaesthesia
title Current overview of awake, non-intubated, video-assisted thoracic surgery
title_full Current overview of awake, non-intubated, video-assisted thoracic surgery
title_fullStr Current overview of awake, non-intubated, video-assisted thoracic surgery
title_full_unstemmed Current overview of awake, non-intubated, video-assisted thoracic surgery
title_short Current overview of awake, non-intubated, video-assisted thoracic surgery
title_sort current overview of awake non intubated video assisted thoracic surgery
topic awake video-assisted thoracic surgery
intubation
thoracic
anaesthesia
url https://www.termedia.pl/Current-overview-of-awake-non-intubated-video-assisted-r-nthoracic-surgery,42,50833,1,1.html
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