Non-intubated thoracic surgery is not a new idea or concept. It was developed early in the 20th century and used successfully for many years for even the most complex thoracic cases until the development of double lumen intubation in the 1950s made the use of single-lung ventilation possible. Multiple studies have reported successful thoracic surgery outcomes in Non-intubated patients, thus eliminating the majority of risks related to general anesthesia, as well as uni-lung ventilation via mechanical ventilation and intubation. Non-Intubated VATS procedures have demonstrated a high rate of success in treating those at the very margins of the thoracic surgery patient population (the extreme elderly, patients with advanced respiratory disease, or other serious medical co-morbidities) who are often deemed inoperable using current techniques. Here we present our initial experiences and results with Non-Intubated VATS procedures.
Key words: Non-Intubated, VATS