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I. Simundza

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    Poster Display session (Friday) (ID 65)

    • Event: ELCC 2018
    • Type: Poster Display session
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 4/13/2018, 12:30 - 13:00, Hall 1
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      95P - Intubated versus non-intubated general anesthesia for minimally invasive video-assisted thoracic surgery (VATS) in octogenarians (ID 268)

      12:30 - 13:00  |  Author(s): I. Simundza

      • Abstract
      • Slides

      In recent years, non-intubated video-assisted thoracic surgey has gained popularity worldwide, especially in elderly lung patients. The main goal of this surgical practice is to achieve an overall improvement of patient management and outcome thanks to the avoidance of side-effects related to general anesthesia (GA) and single-lung ventilation. In this study we tried to compare a non-intubated general anesthetic technique with an intubated general anesthetic technique for VATS.

      Sixty patients aged 80 and more scheduled for VATS lung surgery, were allocated randomly into two groups with 30 patients each. The first group received standard general anesthesia with double lumen tube. The second group underwent a non-intubated anesthetic technique. Heart rate, mean arterial pressure, end-tidal CO~2~ and the visual analog pain score (VAS) measurements were recorded during the surgery and 24 hours after the surgery. Both groups received ultrasound guided paravertebral block before surgery with single injection of 20 ml of 0.25% levobupivacaine. VATS lung biopsy, sublobar or lobar resection were equally distributed in both groups of patients.

      Time for anesthetic procedure was shorter in the non-intubated group. VATS lobecotomy was performed in the usual manner in all patients without any intraoperative complications. VAS scores in the first 24 hours werecomparable. We found significantlly shorter recovery times, reduced oxygen requirement, and shorter hospital stays in the non-intubated group. There were no significant differences in intraoperative blood loss, the operation time or postoperative complications between the non-intubated group and the intubated group of patients.

      In this study, our experience has shown that non-intubated VATS is a safe and feasible surgery for elderly lung cancer patients with certain advantages for the patients undergoing VATS. Our results indicate that we can achieve day surgery for selected patients. Further clinical studies should be carried out in order to improve surgical outcomes in elderly LC patients.

      Clinical trial identification:

      Legal entity responsible for the study:
      Ilic Nenad

      Has not received any funding

      All authors have declared no conflicts of interest.

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