PMID- 37868284 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231030 IS - 1895-4588 (Print) IS - 2299-0054 (Electronic) IS - 1895-4588 (Linking) VI - 18 IP - 3 DP - 2023 Sep TI - Current overview of awake, non-intubated, video-assisted thoracic surgery. PG - 445-452 LID - 10.5114/wiitm.2023.128070 [doi] AB - Awake video-assisted thoracoscopic surgery (A-VATS) enables the surgeon to penetrate the tissue via a small incision and with less contact between the lung and atmospheric pressure; postoperative respiratory functions are also less affected than in open surgery. A-VATS is a safer technique than traditional VATS and non-intubated video-assisted thoracoscopic surgery (NI-VATS) because it does not require muscle relaxants and sedoanalgesics. In particular, diagnostic VATS for pleural effusions can be easily performed over a single port using only local anaesthetic. Anaesthesia-related risks increase even more for elderly patients and those with severe comorbidities. Although there are long and risky operations in thoracic surgery, general anaesthesia is not required for some thoracic surgery procedures. However, A-VATS is limited to minor procedures. Due to regional anaesthesia and sedation, NI-VATS is a safe and effective method for many indications. The results show that this method can be applied with low mortality and morbidity. CI - Copyright: (c) 2023 Fundacja Videochirurgii. FAU - Yanik, Fazli AU - Yanik F AD - Thoracic Surgery Department, School of Medicine, Trakya University, Edirne, Turkey. LA - eng PT - Journal Article PT - Review DEP - 20230613 PL - Poland TA - Wideochir Inne Tech Maloinwazyjne JT - Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques JID - 101283175 PMC - PMC10585470 OTO - NOTNLM OT - anaesthesia OT - awake video-assisted thoracic surgery OT - intubation OT - thoracic COIS- The author declares no conflict of interest. EDAT- 2023/10/23 06:47 MHDA- 2023/10/23 06:48 PMCR- 2023/09/01 CRDT- 2023/10/23 04:35 PHST- 2023/04/11 00:00 [received] PHST- 2023/05/09 00:00 [accepted] PHST- 2023/10/23 06:48 [medline] PHST- 2023/10/23 06:47 [pubmed] PHST- 2023/10/23 04:35 [entrez] PHST- 2023/09/01 00:00 [pmc-release] AID - 50833 [pii] AID - 10.5114/wiitm.2023.128070 [doi] PST - ppublish SO - Wideochir Inne Tech Maloinwazyjne. 2023 Sep;18(3):445-452. doi: 10.5114/wiitm.2023.128070. Epub 2023 Jun 13.