Author(s)

Junting Chen ¹, Jinsong Yang ¹

Affiliation(s)

¹ The First Affiliated Hospital of Hunan Normal University, Hunan Provincial People's Hospital, Changsha, Hunan 410000, China

Corresponding Author

Jinsong Yang

ABSTRACT

In recent years, with the promotion of enhanced recovery after surgery (ERAS) protocols and the advancement of minimally invasive techniques in thoracic surgery, non-intubated anesthesia with spontaneous ventilation has emerged as a research hotspot. The tubeless technique, which maintains spontaneous breathing while avoiding the insertion of various tubes, has been increasingly supported by clinical studies for its safety and feasibility. This review systematically summarizes recent progress in the application of tubeless anesthesia in thoracic surgery.

KEYWORDS

Tubeless; Spontaneous ventilation; Thoracic surgery; Enhanced recovery after surgery (ERAS)

CITE THIS PAPER

Junting Chen, Jinsong Yang, Tubeless Anesthesia with Spontaneous Respiration in Thoracic Surgery. MEDS Clinical Medicine (2025) Vol. 6: 63-66. DOI: http://dx.doi.org/10.23977/medsc.2025.060209.

REFERENCES

[1] Buckingham W W, Beatty A J, Brasher C A, et al. The technique of administering epidural anesthesia in thoracic surgery[J]. Diseases of the Chest, 1950, 17(5): 561-568.
[2] Pompeo E, Mineo D, Rogliani P, et al. Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules[J]. The Annals of thoracic surgery, 2004, 78(5): 1761-1768.
[3] Piccioni F, Langer M, Fumagalli L, et al. Thoracic paravertebral anaesthesia for awake video‐assisted thoracoscopic surgery daily[J]. Anaesthesia, 2010, 65(12): 1221-1224.
[4] Gálvez C, Bolufer S, Gálvez E, et al. Anatomic segmentectomy in nonintubated video-assisted thoracoscopic surgery[J]. Thoracic Surgery Clinics, 2020, 30(1): 61-72.
[5] Liu J, Liang H, Cui F, et al. Spontaneous versus mechanical ventilation during video-assisted thoracoscopic surgery for spontaneous pneumothorax: A randomized trial[J]. The Journal of Thoracic and Cardiovascular Surgery, 2022, 163(5): 1702-1714. e7.
[6] Ahn S, Moon Y, AlGhamdi Z M, et al. Nonintubated uniportal video-assisted thoracoscopic surgery: a single-center experience[J]. The Korean Journal of Thoracic and Cardiovascular Surgery, 2018, 51(5): 344.
[7] Chen J S, Cheng Y J, Hung M H, et al. Nonintubated thoracoscopic lobectomy for lung cancer[J]. Annals of surgery, 2011, 254(6): 1038-1043. 
[8] Furák J, Paróczai D, Burián K, et al. Oncological advantage of nonintubated thoracic surgery: better compliance of adjuvant treatment after lung lobectomy[J]. Thoracic cancer, 2020, 11(11): 3309-3316.
[9] Li S, Jiang L, Ang K L, et al. New tubeless video-assisted thoracoscopic surgery for small pulmonary nodules[J]. European Journal of Cardio-Thoracic Surgery, 2017, 51(4): 689-693. 

Sponsors, Associates, and Links

---

• Journal of Neurobiology and Genetics
  
  
• Medical Imaging and Nuclear Medicine
  
  
• Bacterial Genetics and Ecology
  
  
• Transactions on Cancer
  
  
• Journal of Biophysics and Ecology
  
  
• Journal of Animal Science and Veterinary
  
  
• Academic Journal of Biochemistry and Molecular Biology
  
  
• Transactions on Cell and Developmental Biology
  
  
• Rehabilitation Engineering & Assistive Technology
  
  
• Orthopaedics and Sports Medicine
  
  
• Hematology and Stem Cell
  
  
• Journal of Intelligent Informatics and Biomedical Engineering
  
  
• MEDS Basic Medicine
  
  
• MEDS Stomatology
  
  
• MEDS Public Health and Preventive Medicine
  
  
• MEDS Chinese Medicine
  
  
• Journal of Enzyme Engineering
  
  
• Advances in Industrial Pharmacy and Pharmaceutical Sciences
  
  
• Bacteriology and Microbiology
  
  
• Advances in Physiology and Pathophysiology
  
  
• Journal of Vision and Ophthalmology
  
  
• Frontiers of Obstetrics and Gynecology
  
  
• Digestive Disease and Diabetes
  
  
• Advances in Immunology and Vaccines
  
  
• Nanomedicine and Drug Delivery
  
  
• Cardiology and Vascular System
  
  
• Pediatrics and Child Health
  
  
• Journal of Reproductive Medicine and Contraception
  
  
• Journal of Respiratory and Lung Disease
  
  
• Journal of Bioinformatics and Biomedicine