Awake non-intubated single-incision VATS lobectomy after induction chemotherapy and mediastinoscopy

Abstract

The search for the least invasive approach for lung cancer surgery has developed single-incision thoracoscopic procedures under loco-regional anesthesia without tracheal intubation, including major pulmonary resections such as lobectomies and anatomical segmentectomies. We present the first report of an awake non-intubated single-incision thoracoscopic lobectomy in a patient with clinical stage IIIA adenocarcinoma after induction chemotherapy and mediastinoscopy.