Abstract:
Objective To compare the safety and early clinical efficacy of thoracoscopic lobectomy by non-intubated versus traditional intubated anesthesia.
Methods We retrospectively analyzed clinical data of 30 patients treated with non-intubated thoracoscopic lobectomy in the Third Affiliated Hospital of Soochow University from June to December, 2016. Meanwhile we selected 30 patients treated with thoracoscopic lobectomy by traditional intubated anesthesia as a control group. Clinical results of two groups were compared.
Results There was no statistical difference in preoperative clinical data between the two groups. All patients were successfully operated. Patients in non-intubation group had shorter durations of anesthesia induction time and back to awake time, shorter duration of chest drainage and hospital stay, less C-reactive protein levels after surgery, compared with the control group(all P < 0.05).
Conclusion Non-intubated thoracoscopic lobectomy is technically feasible and safe with reduced complications of traditional anesthesia, less postoperation pain, shorter hospital stay and less hospitalization costs which fit the idea of fast recovery.
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