-
Tytuł:
-
Anatomic Segmentectomy in Nonintubated Video-Assisted Thoracoscopic Surgery.
-
Autorzy:
-
Gálvez C; Thoracic Surgery Department, Hospital General Universitario Alicante, C/Pintor Baeza, 12, Alicante 03010, Spain. Electronic address: .
Bolufer S; Thoracic Surgery Department, Hospital General Universitario Alicante, C/Pintor Baeza, 12, Alicante 03010, Spain.
Gálvez E; Medical Oncology, Hospital General Universitario Elda, Ctra. Sax- La Torreta, S/N, Elda, Alicante 03600, Spain.
Navarro-Martínez J; Anesthesiology and Surgical Critical Care Department, Hospital General Universitario Alicante, C/Pintor Baeza, 12, Alicante 03010, Spain.
Galiana-Ivars M; Anesthesiology and Surgical Critical Care Department, Hospital General Universitario Alicante, C/Pintor Baeza, 12, Alicante 03010, Spain.
Sesma J; Thoracic Surgery Department, Hospital General Universitario Alicante, C/Pintor Baeza, 12, Alicante 03010, Spain.
Rivera-Cogollos MJ; Anesthesiology and Surgical Critical Care Department, Hospital General Universitario Alicante, C/Pintor Baeza, 12, Alicante 03010, Spain.
-
Źródło:
-
Thoracic surgery clinics [Thorac Surg Clin] 2020 Feb; Vol. 30 (1), pp. 61-72.
-
Typ publikacji:
-
Journal Article; Review; Video-Audio Media
-
Język:
-
English
-
Imprint Name(s):
-
Publication: 2011- : New York, NY : Elsevier
Original Publication: Philadelphia : Saunders,
-
MeSH Terms:
-
Lung Neoplasms*/pathology
Lung Neoplasms*/surgery
Pneumonectomy*/adverse effects
Pneumonectomy*/methods
Postoperative Complications/*prevention & control
Thoracic Surgery, Video-Assisted/*methods
Humans ; Lung/pathology ; Lung/surgery ; Neoplasm Staging ; Risk Adjustment
-
Contributed Indexing:
-
Keywords: Nonintubated thoracic surgery; Pulmonary surgical procedures; Sublobar pulmonary resections; Thoracic surgery; Video assisted
-
Entry Date(s):
-
Date Created: 20191126 Date Completed: 20200221 Latest Revision: 20200221
-
Update Code:
-
20240104
-
DOI:
-
10.1016/j.thorsurg.2019.09.003
-
PMID:
-
31761285
-
Thoracic surgery has evolved into minimally invasive surgery, in terms of not only surgical approach but also less aggressive anesthesia protocols and lung-sparing resections. Nonintubated anatomic segmentectomies are challenging procedures but can be safely performed if some essentials are considered. Strict selection criteria, previous experience in minor procedures, multidisciplinary cooperation, and the 4 cornerstones (deep sedation, regional analgesia, oxygenation support and vagal blockade) should be followed. Better outcomes in postoperative recovery, including resumption of oral intake, chest tube duration, and hospital stay, and low complication and conversion rates, are encouraging but should be checked in larger multicenter prospective randomized trials.
(Copyright © 2019 Elsevier Inc. All rights reserved.)
