Outcomes of Non-intubated Versus Intubated Thoracoscopic Surgery for Primary Spontaneous Pneumothorax

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dc.authoridYANIK, FAZLI/0000-0002-8931-5329
dc.contributor.authorYanik, Fazli
dc.contributor.authorKaramustafaoglu, Yekta Altemur
dc.contributor.authorYoruk, Yener
dc.date.accessioned2024-06-12T11:16:17Z
dc.date.available2024-06-12T11:16:17Z
dc.date.issued2023
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: This study aimed to compare the outcomes of non-intubated video-assisted thoracic surgery (N-VATS) and intubated video-assisted thoracic surgery (I-VATS) for primary spontaneous pneumothorax (PSP).Materials and methods: We retrospectively analyzed 120 consecutive patients who underwent VATS for PSP. The patients were divided into N-VATS and I-VATS groups. Demographics, clinical characteristics, postoperative results, pain scores, follow-up results, and management were evaluated and compared between the groups. Local anesthesia and deep sedation (ketamine 2 mg/kg IV and propofol 2 mg/kg IV slow infusion) were administered under spontaneous ventilation in the N-VATS group.Results: The groups did not differ significantly in terms of age, sex, American Society of Anesthesiology score, pneumothorax side, or smoking history ( P >0.05). The mean operation time, anesthesia time, oral intake opening time, and mobilization time were significantly shorter in the N-VATS group (26.04 +/- 4.61 vs. 48.26 +/- 7.82 min, 42.14 +/- 6.40 vs. 98.16 +/- 12.4 min, 2.1 +/- 0.4 vs. 8.4 +/- 1.2 h, and 4.2 +/- 0.9 vs. 2.6 +/- 1.4 between N-VATS and I-VATS, respectively; P <0.05). The surgical outcomes did not differ in terms of minor complications (12%-13%) and recurrence rates (5.1%-6.4%) during a mean follow-up period of 88.4 +/- 10.2 mo. No cases of conversion to open surgery or mortality were observed. General anesthesia and intubation were not required for any patient in the N-VATS group.Conclusions: Our results revealed no differences in minor complications or recurrence rates between groups. However, the N-VATS group had significantly shorter operation, anesthesia, oral intake opening, and mobilization times. The most important advantage of N-VATS for PSP is its fast recovery while avoiding the risks of general anesthesia and intubation. Further prospective studies with larger sample sizes are warranted.en_US
dc.identifier.doi10.1097/SLE.0000000000001213
dc.identifier.endpage492en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue5en_US
dc.identifier.pmid37585394en_US
dc.identifier.scopus2-s2.0-85175196071en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage487en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0000000000001213
dc.identifier.urihttps://hdl.handle.net/20.500.14551/24265
dc.identifier.volume33en_US
dc.identifier.wosWOS:001080891500009en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectThoracoscopyen_US
dc.subjectVATSen_US
dc.subjectAwakeen_US
dc.subjectNon-Intubateden_US
dc.subjectPrimary Spontaneous Pneumothoraxen_US
dc.subjectThoracic-Surgeryen_US
dc.titleOutcomes of Non-intubated Versus Intubated Thoracoscopic Surgery for Primary Spontaneous Pneumothoraxen_US
dc.typeArticleen_US

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