Short-Term Outcome of Non-intubated Thoracoscopic Assisted Thoracic Surgery in Thailand

Abstract

Objective: To reveal the short-term outcome of non-intubated video assisted thoracoscopic surgery (NIVATS) in Thailand. Materials and Methods: The authors performed a retrospective review of the present study institutional database of 144 consecutive patients that underwent NIVATS between 2019 and 2020. Baseline clinical data such as gender, diagnosis, co-morbidities, and intra- and post-operative data were collected, retrospectively. Results: Of the 144 patients, 71 were male patients with mean age of 59.1 years old. Most patients were non-smoker. Four (2.8%) patients were performed through subxiphoid approach, 14 (9.7%) were performed bilateral surgery, and 99 (68%) patients were diagnosed as malignant lesion. Median induction time and operative time were 23.5 and 60 minutes, respectively. The lowest oxygenation and peak ETCO2 were 100 and 44, respectively. Median of tube duration and hospital stay were two and five days, respectively. In post-operative outcome, only one patient needed to be converted to general anesthesia and 12 (8.3%) patients had post-operative complications. Conclusion: Non-intubated general anesthesia is a safe and could be an alternative approach with comparable short-term outcomes. Keywords: Video assisted thoracoscopic surgery; Non-intubate; Lung surgery