ОНКОЛОГИЯ
и РАДИОЛОГИЯ
КАЗАХСТАНА
ISSN 1684-937X (печатная версия) [:en]ISSN 2521-6414 (Online),
ISSN 1684-937X (printed version)[:kz]ISSN 2521-6414 (Online),
ISSN 1684-937X (баспа нұсқасы) [:]
THE FIRST EXPERIENCE OF USING NON-INTUBATION VIDEO-ASSISTED THORACOSCOPIC RESECTIONS FOR LUNG CANCER IN THE REPUBLIC OF KAZAKHSTAN
V.A. Makarov 1, E.T. Baimuhametov 1, E.T. Мusanov 1, S.T. Olzhayev 1, I.I. Novikov 1, B.J. Bekbotayev 1, B.J. Adzhybayev 1, B.A. Mahanbetov 1, S.S. Оspanov 1, A.S.Оzharova 1, R.E.Каdyrbayeva 2
1. «Almaty Regional Multidisciplinary Clinic» CSE on REM, Almaty, the Republic of Kazakhstan;
2. «Kazakh Institute of Oncology and Radiology» JSC, Almaty, the Republic of Kazakhstan
DOI: https://www.doi.org/10.52532/2663-4864-2023-3-69-4-10
UDC: 616.24-006.6-089
Year: 2023 issure: 69 number: 3 pages: 4-10
ABSTRACT
Relevance:Several studies have shown that non-intubation surgical interventions, especially, have proven themselves well in patients with low reserve of the cardiovascular and respiratory systems, as well as in the diagnosis of interstitial lung diseases.
The study aimed to describe the experience of introducing into clinical practice surgical interventions without intubation on spontaneous breathing for malignant neoplasms of the lungs and mediastinal organs.
Methods: two clinical cases are described of the main points of the anesthesia and technical features of surgical intervention.
Results: A surgery in two patients with peripheral lung cancer was performed. In the first case, the operation included NI-VATS on the right and the resection of the upper (S2) and lower lobe (S6, S9); in the second case – NI-VATS on the right, lower lobectomy, and lymph node dissection. Based on the results of histological examination, both patients were diagnosed with NSCLC in the initial stages. Postoperative chemoradiotherapy is not indicated. The patients were registered at the dispensary in clinical group III.
Conclusion: As the literature data and our preliminary results of NI-VATS show, surgical interventions in the surgical treatment of lung cancer have places to be and should be widely introduced into clinical practice in oncothoracic departments of the Republic of Kazakhstan.
Keywords: lung cancer, NI-VATS, VATS, video-assisted lung resection, non-intubated thoracoscopic lobectomy, non-intubated thoracic surgery.
List of sources used:
- Jacobaeus H.C. The Cauterization of Adhesions in Artificial Pneumothorax Treatment of Pulmonary Tuberculosis under Thoracoscopic Control // Proc. R. Soc. Med. – 1923. – Vol. 16. – P. 45-62. https://pubmed.ncbi.nlm.nih.gov/19982912/
- Hoksch B., Birken-Bertsch H., Müller J.M. Thoracoscopy before Jacobaeus // Ann. Thorac. Surg. – 2002. – Vol. 74(4). – P. 1288-1290. https://doi.org/10.1016/S0003-4975(02)03676-7
- Kaseda S., Aoki T., Hangai N., Shimizu K. Better pulmonary function and prognosis with video-assisted thoracic surgery than with thoracotomy // Ann. Thorac. Surg. – 2000. – Vol. 70(5). – P. 1644-1646. https://doi.org/10.1016/S0003-4975(00)01909-3
- Mineo T.C., Tacconi F. From “awake” to “monitored anesthesia care” thoracic surgery: A 15-year evolution // Thorac. Cancer. – 2014. – Vol. 5(1). – P. 1-13. https://doi.org/10.1111/1759-7714.12070
- Grott M., Eichhorn M., Eichhorn F., Schmidt W., Kreuter M., Winter H. Thoracic surgery in the non-intubated spontaneously breathing patient // Respir. Res. – 2022. – Vol. 23(1). – Art. no. 379. https://doi.org/10.1186/S12931-022-02250-Z
- Pompeo E., Mineo D., Rogliani P., Sabato A.F., Mineo T.C. Feasibility and results of awake thoracoscopic resection of solitary pulmonary nodules // Ann. Thorac. Surg. – 2004. – Vol. 78(5). – P. 1761-1768. https://doi.org/10.1016/J.ATHORACSUR.2004.05.083
- Starke H., Zinne N., Leffler A., Zardo P., Karsten J. Developing a minimally-invasive anaesthesiological approach to non-intubated uniportal video-assisted thoracoscopic surgery in minor and major thoracic surgery // J. Thorac. Surg. – 2020. – Vol. 12(12). – P. 7202-7217. https://doi.org/10.21037/jtd-20-2122
- Fabo C., Oszlanyi A., Lantos J., Rarosi F., Horvath T., Barta Z., Nemeth T., Szabo Z. Non-intubated Thoracoscopic Surgery-Tips and Tricks From Anesthesiological Aspects: A Mini Review // Front. Surg. – 2021. – Vol. 8. – P. 818456. https://doi.org/10.3389/FSURG.2021.818456
- Pompeo E., Sorge R., Akopov A., Congregado M., Grodzki T. Non-intubated thoracic surgery-A survey from the European Society of Thoracic Surgeons // Ann. Transl. Med. – 2015. – Vol. 3(3). https://doi.org/10.3978/J.ISSN.2305-5839.2015.01.34
- Galetin T., Galetin T., Lopez-Pastorini A., Lopez-Pastorini A., Kosse N., Koryllos A., Koryllos A., Stoelben E., Stoelben E. Video-assisted Thoracoscopic Surgery in Local Anaesthesia and Analgosedation – A Survey of the Members of the German Society of Thoracic Surgeons // Zentralblatt Fur Chirurgie. – 2020. – Vol. 145(3). – P. 278-283. https://doi.org/10.1055/A-0988-0085
- Wang M.L., Hung M.H., Hsu H.H., Chan K.C., Cheng Y.J., Chen J.S. Non-intubated thoracoscopic surgery for lung cancer in patients with impaired pulmonary function // Ann. Transl. Med. – 2019. – Vol. 7(3). – P. 40. https://doi.org/10.21037/ATM.2018.11.58
- Gonzalez-Rivas D., Bonome C., Fieira E., Aymerich H., Fernandez R., Delgado M., Mendez L., De la Torre M. Non-intubated video-assisted thoracoscopic lung resections: The future of thoracic surgery? // Eur. J. Cardio-Thorac. Surg. – 2016. – Vol. 49(3). – P. 721-731. https://doi.org/10.1093/EJCTS/EZV136
- Pompeo E. State of the art and perspectives in non-intubated thoracic surgery // Ann. Transl. Med. – 2014. – Vol. 2(11). https://doi.org/10.3978/J.ISSN.2305-5839.2014.10.01
- Wen Y., Liang H., Qiu G., Liu Z., Liu J., Ying W., Liang W., He J. Non-intubated spontaneous ventilation in video-assisted thoracoscopic surgery: a meta-analysis // Eur. J. Cardio-Thorac. Surg. – 2020. – Vol. 57. – P. 428-437. https://doi.org/10.1093/ejcts/ezz279
- Zhang X.X., Song C.T., Gao Z., Zhou B., Wang H.B., Gong Q., Li B., Guo Q., Li H.F. A comparison of non-intubated video-assisted thoracic surgery with spontaneous ventilation and intubated video-assisted thoracic surgery: a meta-analysis based on 14 randomized controlled trials // J. Thorac. Surg. – 2021. – Vol. 13(3). – P. 1624. https://doi.org/10.21037/JTD-20-3039
- Elkhayat H., Gonzalez-Rivas D. Non-intubated uniportal video-assisted thoracoscopic surgery // J. Thorac. Surg. – 2019. – Vol. 11. – P. S220–S222. https://doi.org/10.21037/JTD.2019.02.05
- Yu M.G., Jing R., Mo Y.J., Lin F., Du X.K., Ge W.Y., Dai H.J., Hu Z.K., Zhang S.S., Pan L.H. Non-intubated anesthesia in patients undergoing video-assisted thoracoscopic surgery: A systematic review and meta-analysis // PLOS ONE. – 2019. – Vol. 14(11). – P. e0224737. https://doi.org/10.1371/JOURNAL.PONE.0224737
- Zardo P., Zinne N., Logemann F., Gras C., Rivas D.G. Non-intubated uniportal video-assisted thoracoscopic surgery-lobectomy in Germany-the first 2 cases // J. Visual. Surg. – 2018. – Vol. 4. – P. 178-178. https://doi.org/10.21037/jovs.2018.07.18
- Canet J., Gallart L., Gomar C., Paluzie G., Valle J., Castillo J., Sabaté S., Mazo V., Briones Z., Math M., Sanchis J. Prediction of Postoperative Pulmonary Complications in a Population-based Surgical Cohort // Anesthesiology. – 2010. – Vol. 113. – P. 1338-1350. http://links.lww.com/ALN/A646
- Anile M., Vannucci J., Ferrante F., Bruno K., De Paolo D., Bassi M., Pugliese F., Venuta F. Non-Intubated Thoracic Surgery: Standpoints and Perspectives // Front. Surg. – 2022. – P. 9. https://doi.org/10.3389/FSURG.2022.937633
- Furák J., Paróczai D., Burián K., Szabó Z., Zombori T. Oncological advantage of non-intubated thoracic surgery: Better compliance of adjuvant treatment after lung lobectomy // Thorac. Cancer. – 2020. – Vol. 11(11). – P. 3309-3316. https://doi.org/10.1111/1759-7714.13672
- AlGhamdi Z.M., Lynhiavu L., Moon Y.K., Moon M.H., Ahn S., Kim Y., Sung S.W. Comparison of non-intubated versus intubated video-assisted thoracoscopic lobectomy for lung cancer // J. Thorac. Surg. – 2018. – Vol. 10(7). – P. 4236-4243. https://doi.org/10.21037/JTD.2018.06.163
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