Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. School of Medicine / 醫學系
  4. Nonintubated thoracoscopic lobectomy for lung cancer
 
  • Details

Nonintubated thoracoscopic lobectomy for lung cancer

Journal
Annals of Surgery
Journal Volume
254
Journal Issue
6
Pages
1038-1043
Date Issued
2011
Author(s)
JIN-SHING CHEN  
YA-JUNG CHENG  
MING-HUI HUNG  
Tseng, Yu-Ding
KE-CHENG CHEN  
Lee, Yung-Chie
DOI
10.1097/SLA.0b013e31822ed19b
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-81855224644&doi=10.1097%2fSLA.0b013e31822ed19b&partnerID=40&md5=c6ac13ef08f000d3f503c9a7b4cff1a3
https://scholars.lib.ntu.edu.tw/handle/123456789/481090
Abstract
OBJECTIVE:: To evaluate the feasibility and safety of thoracoscopic lobectomy without endotracheal intubation. SUMMARY BACKGROUND DATA:: General anesthesia with single-lung ventilation is considered mandatory for thoracoscopic lobectomy for non-small cell lung cancer (NSCLC). Nonintubated thoracoscopic lobectomy has not been reported previously. METHODS:: From August 2009 through June 2010, some 30 consecutive patients with clinical stage I or II NSCLC were treated by nonintubated thoracoscopic lobectomy using epidural anesthesia, intrathoracic vagal blockade, and sedation. To evaluate the feasibility and safety of this novel technique, they were compared with a control group consisting of 30 consecutive patients with clinical stage I or II NSCLC who underwent thoracoscopic lobectomy using intubated general anesthesia from August 2008 through July 2009. RESULTS:: Collapse of the operative lung and inhibition of coughing were satisfactory in the nonintubated patients, induced by spontaneous breathing, and vagal blockade. Three patients in the nonintubated group required conversion to intubated-single lung ventilation because of persistent hypoxemia, poor epidural anesthesia pain control, and bleeding. One patient in each group was converted to thoracotomy because of bleeding. The 2 groups had comparable anesthesia durations, surgical durations, blood loss, and numbers of dissected lymph nodes. Patients who underwent nonintubated surgery had lower rates of sore throat (6.7% vs 40.0%, P = 0.002) and earlier resumption of oral intake (mean, 4.7 hours vs 18.8 hours, P < 0.001). Patients undergoing nonintubated surgery also had a trend toward better noncomplication rates (90% vs 66.7%, P = 0.057) and shorter postoperative hospital stays (mean, 5.9 days vs 7.1 days, P = 0.078). CONCLUSIONS:: Nonintubated thoracoscopic lobectomy is technically feasible and is as safe as lobectomy performed with intubation in highly selected patients. It can be a valid alternative of single-lung-ventilated thoracoscopic surgery in managing early-stage NSCLC. Copyright C © 2011 by Lippincott Williams & Wilkins.
SDGs

[SDGs]SDG3

Other Subjects
bupivacaine; fentanyl; morphine; nonsteroid antiinflammatory agent; paracetamol; adult; article; artificial ventilation; breathing; cancer staging; cancer surgery; clinical article; controlled study; coughing; endotracheal tube; epidural anesthesia; female; forced expiratory volume; forced vital capacity; hospitalization; human; hypoxemia; intubation; lobectomy; lung collapse; lung non small cell cancer; lung ventilation; lymph node dissection; male; nonintubated thoracoscopic lobectomy; nose feeding; pain; pneumonia; postoperative hemorrhage; priority journal; sedation; sore throat; surgical technique; thoracotomy; tumor volume; vagus nerve; vomiting; Adult; Anesthesia, Epidural; Anesthesia, Intratracheal; Autonomic Nerve Block; Carcinoma, Non-Small-Cell Lung; Conscious Sedation; Feasibility Studies; Female; Hospitals, University; Humans; Length of Stay; Lung Neoplasms; Male; Middle Aged; Neoplasm Staging; Pneumonectomy; Postoperative Complications; Taiwan; Thoracoscopy; Vagus Nerve
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science