Lobinger Dominik, Reiche Alicia, Hiebinger Andreas, Bodner Johannes
Department of Thoracic Surgery, München Klinik Bogenhausen, Munchen, Germany.
Thorac Cardiovasc Surg Rep. 2023 Oct 23;12(1):e54-e56. doi: 10.1055/a-2178-0485. eCollection 2023 Jan.
The so-called nonintubated or awake video-assisted thoracoscopic surgery (NIVATS) is performed on spontaneously breathing patients, which was shown to reduce postoperative complications and shorten hospital stay. Awake uniportal VATS was indicated for the evacuation of an extensive, superinfected hemothorax with symptomatic mediastinal shift in a patient with advanced mediastinal SMARCA4-deficient tumor and declined condition, who did not allow a general anesthetic procedure and was not a candidate for extensive surgery. This short microinvasive intervention was a prerequisite to stabilize the threat to the patient's life and thus potentially enable any further tumor-specific therapy.
所谓的非插管或清醒电视辅助胸腔镜手术（NIVATS）是在自主呼吸的患者身上进行的，已证明该手术可减少术后并发症并缩短住院时间。清醒单孔胸腔镜手术适用于一名患有晚期纵隔SMARCA4缺陷肿瘤且病情恶化的患者，该患者出现广泛的、感染性血胸并伴有有症状的纵隔移位，不允许进行全身麻醉手术，也不适合进行广泛手术。这种简短的微创干预是稳定对患者生命威胁的先决条件，从而有可能使任何进一步的肿瘤特异性治疗成为可能。
