Anesthetic (r)evolution from the conventional concept to the minimally invasive techniques in thoracic surgery-narrative review.

ABSTRACT:

Background and objective

Thanks to the growing experience with the non-intubated anesthetic and surgical techniques, most pulmonary resections can now be performed by using minimally invasive techniques. The conventional method, i.e., surgery on the intubated, ventilated patient under general anesthesia with one-lung ventilation (OLV) was considered necessary for the major thoracoscopic lung resections for all patients. An adequate analgesic approach (regional or epidural anesthesia) allows video-assisted thoracoscopy (VATS) to be performed in anesthetized patients and thus the potential adverse effects related to general anesthesia and mechanical OLV can be minimized.

Methods

Multiple medical literature databases (PubMed, Google Scholar, Scopus) were searched, using the ter

SUBMITTER: Szabo Z 

PROVIDER: S-EPMC9442516 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature