Tubeless single-port thoracoscopic sublobar resection: indication and safety

摘要: Background The tubeless technique, defined as non-intubated general anesthesia with omission of chest drainage after video-assisted thoracoscopic surgery (VATS), is a new concept to further minimize surgical trauma. However, there has been little investigation into the associated feasibility and safety. Minimization postoperative pneumothorax challenging. We set up "tubeless protocol" select patients for single-port VATS monitoring digital system (DDS). Methods From November 2016 September 2017, 50 consecutive pulmonary resection were performed. In our study, small peripheral lesions indicated sublobar resections, diagnostic or curative intent, included. After excluding having tumors >2 cm, intrapleural adhesions noted during operation, forced expiratory volume in 1 second <1.5 L, 36 selected protocol. clinical characteristics perioperative outcomes these are presented. Results Among cases, 5 had minor air leaks detected using DDS required intercostal wound closure. remaining 31 whom showed no leak, was removed immediately A roentgenogram on day full expansion all without pneumothorax. Only 7 (19.4%) developed subclinical first need drainage. All discharged uneventfully intervention. Conclusions Our protocol utilizes who can have omitted resection. Using objective parameters, we believe that this an effective way reduce rate patients.