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© 2025 by the authors. Published by MDPI on behalf of the Lithuanian University of Health Sciences. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background and Objectives: Non-intubated uniportal video-assisted thoracoscopic surgery (NI-UniVATS) is a minimally invasive technique performed using a single port, allowing the entire surgical procedure to be completed with spontaneous breathing without the need for general anesthesia. Materials and Methods: This retrospective study included 51 patients who underwent NI-UniVATS between 2020 and 2023. The intraoperative and postoperative data of patients who underwent NI-UniVATS were evaluated. Results: Among the cases, 37 (72.5%) were male, and 14 (46.6%) were female, with a mean age of 47.73 ± 20.43 years (range: 18–78 years). The mean operative time was 25.92 ± 7.31 min. No perioperative complications were observed in any patient. The mean postoperative hospital stay was 4.17 ± 1.76 days (range: 2–9 days). A right hemithoracic approach was performed in 28 patients (54.9%), whereas a left hemithoracic approach was used in 23 patients (45.1%). The procedures performed included wedge resection in 27 patients (52.9%), biopsy in 22 patients (43.1%), pericardial window creation in one patient (2%), and intrathoracic foreign body removal in one patient (2%). Conclusions: NI-UniVATS allows for safer surgery by preventing the adverse effects and complications associated with general anesthesia. NI-UniVATS can be recommended as a safe and feasible approach for both minor and major thoracic procedures.

Details

Title
Current New Approach in Thoracoscopic Surgery: Non-Intubated Uniportal Video-Assisted Thoracoscopic Surgery (NI-UniVATS)
Author
Agar Mehmet 1   VIAFID ORCID Logo  ; Gulcek Ilham 2   VIAFID ORCID Logo  ; Kalkan Muhammed 3 ; Ulutas Hakki 4   VIAFID ORCID Logo  ; Reha, Celık Muhammet 5 ; Aksu Ahmet 6 ; Siyami, Aydın 1 ; Cakmak Muharrem 1 

 Department of Thoracic Surgery, Medicine Faculty, Firat University, 23200 Elazig, Turkey; [email protected] (S.A.); [email protected] (M.C.) 
 Department of Thoracic Surgery, Gaziantep City Hospital, 27470 Gaziantep, Turkey; [email protected] 
 Department of Thoracic Surgery, Malatya Training and Research Hospital, 44330 Malatya, Turkey; [email protected] 
 Department of Thoracic Surgery, Medicine Faculty, Izmir Economics University, 35330 Izmir, Turkey; [email protected] 
 Department of Thoracic Surgery, Medicine Faculty, Atilim University, 06805 Ankara, Turkey; [email protected] 
 Department of Anaesthesiology and Reanimation, Faculty of Medicine, Firat University, 23200 Elazig, Turkey; [email protected] 
First page
641
Publication year
2025
Publication date
2025
Publisher
MDPI AG
ISSN
1010660X
e-ISSN
16489144
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3194624503
Copyright
© 2025 by the authors. Published by MDPI on behalf of the Lithuanian University of Health Sciences. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.