Clinical applicafion of non-intubated uniportal video-assisted thoracoscopic surgery with spontaneous respiration
10.3969/j.issn.1671-8348.2018.04.014
- VernacularTitle:非气管插管保留自主呼吸麻醉下单孔胸腔镜技术的临床应用
- Author:
Jingwei SHI
1
;
Rusong YANG
;
Feng SHAO
;
Yang SUN
;
Shan JIANG
Author Information
1. 东南大学医学院
- Keywords:
surgical procedures,minimally invasive;
single-hole thoracoscopy;
nontracheal intubation;
retention of spontaneous respiration
- From:
Chongqing Medicine
2018;47(4):480-481,485
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility and safety of uniportal video-assisted thoracoscopic surgery under non-intubated anesthesia with spontaneous respiration.Methods The clinical data in 35 cases of uniportal video-assisted thoracoscopic surgery under non-intubated anesthesia with spontaneous respiration implemented by same doctor and team in the Affiliated Nanjing Chest Hospital of Medical College,Southeast University from June 2016 to January 2017 were retrospectively analyzed.Results The operations were successfully completed in 35 cases,including 23 cases of lung bullae resection,6 cases of lung wedge resection,5 cases of pulmonary lobectomy and lymph nodes clearance,and 1 case of bilateral sympathectomy.The operative time was 20-106min,average(38.79 ± 26.45) min,intraoperative bleeding volume was 20-350 mL,average(57.14 ± 56.50) mL.No perioperative serious complications or death occurred.Conclusion Uniportal video-assisted thoracoscopic surgery technique under non-intubated anesthesia with spontaneous respiration is safe and feasible,and can be selectively used in partial patients.
