COMPARISON OF NONINTUBATED UNIPORTAL VIDEO-ASSISTED THORACOSCOPIC (NI-UVATS) WEDGE RESECTION VS UNIPORTAL VIDEO-ASSISTED THORACOSCOPIC WEDGE RESECTION: COULD NI-UVATS BE A STANDARD PROCEDURE?

TOPIC: Lung Cancer TYPE: Original Investigations PURPOSE: The goal of this study is comparison outcome non-intubated Uniportal Video-assisted Thoracoscopic segmentectomy or wedge resection versus intubated in Patients with ASA III and IV pulmonary nodule. METHODS: We compared retrospectively the postoperative recovery consecutively 88 patients video-assisted thoracoscopic resection(NI-UVATS group) VATS (VATS high risk relatively poor lung function (FEV1 < 1,1 Lit DLCO 45%). NI-UVATS group 19 UVATS 38 underwent Wedge Resection. RESULTS: This has been shown a lower anaesthesia operation time as well faster discharge complications group. mean age was 71.7 years 68,3 comorbidities were balanced.In wasn't required conversion to VATS. No mortality encountered either hospital acquired pneumonia occurred 4 1 patient group.The stay shorter (P<0.05) used analgesics sedatives (P<0.05). intraoperative SpO2 SpCO2 higher (P< 0.01) but values similar both groups (P<0,05). CONCLUSIONS: perioperative outcomes for are comparable even safer under technique. However, further multicenter randomised prospective studies needed standardising NI-UVATS. CLINICAL IMPLICATIONS: Non-intubated could be safe standard approach More investigation multi center necessary. DISCLOSURES: relevant relationships by Hamidreza Mahoozi, source=Web Response