{
  "abstract": "The concept of a 'tubeless' technique has gradually attracted the attention of surgeons. The 'tubeless' technique that uses spontaneous ventilation anesthesia (SVA) without tracheal intubation and no or as little as possible drainage, has seldom been attempted. The purpose of the present study was to determine the efficacy of the 'tubeless' technique on the early outcomes of lung lobectomy. All patients who underwent lobectomy for lung tumors between January 2012 and September 2017 were divided into two groups: the mechanical ventilation video-assisted thoracoscopic surgery (MV-VATS) group and the spontaneous ventilation video-assisted thoracoscopic surgery (SV-VATS) group. A total of 498 patients were enrolled. Two hundred and eighty patients were included in the mechanical ventilation group and 218 patients were included in the spontaneous ventilation group. After 1:1 propensity score matching. The body mass index (BMI) and use of a muscle relaxant in the SVA group (22.50 vs. 22.06 kg/m2; 24.83 vs. 3.75 mg; P=0.001) were lower. Both operation time (168.62 vs. 152.26 min; P=0.009) and chest tube (4.08 vs. 3.01 days; P=0.001) were shorter in the SV-VATS group. Furthermore, intraoperative bleeding (69.91 vs. 38.74 mL; P=0.002) was decreased in the SV-VATS group, compared with MV-VATS. Tubeless thoracoscopic is safe and feasible for lobectomy in thoracic surgery, and can result in good short-term outcomes, reduce the use of muscle relaxants, and accelerate postoperative recovery. In addition, it can shorten the chest tube and operation time.",
  "abstract_shown": true,
  "affiliations": [
    "Southern Medical University and The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.",
    "Department of Thoracic Surgery and Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.",
    "Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease, Guangzhou, China.",
    "National Clinical Research Center for Respiratory Disease, Guangzhou, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0,
        1,
        2,
        3
      ],
      "name": "Tuo Xing"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Chao Yang"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Yuan Zeng"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Fuli Li"
    },
    {
      "affs": [
        1,
        2,
        3
      ],
      "name": "Wenhua Liang"
    },
    {
      "affs": [
        0,
        1,
        2,
        3
      ],
      "name": "Jianxing He"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/df6yhec2qwxze.bib",
  "cited_by": 0,
  "doi": "10.21037/tlcr-2026-0431",
  "fulltext_url": "https://europepmc.org/articles/PMC13743433",
  "id": "df6yhec2qwxze",
  "issns": [
    "2218-6751",
    "2226-4477"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999433",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2740|Lung Cancer Diagnosis and Treatment"
    ]
  ],
  "openalex": "W7224007584",
  "pdf_url": "https://europepmc.org/articles/PMC13743433?pdf=render",
  "pmcid": "PMC13743433",
  "pmid": "42999433",
  "published": "2026-10-26",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/df6yhec2qwxze.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42999433",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999433"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2730|Lung Cancer Research Studies",
      "subfield": "oncology"
    }
  ],
  "title": "Evaluation of short term outcomes of tubeless thoracoscopic lobectomy.",
  "title_text": "Evaluation of short term outcomes of tubeless thoracoscopic lobectomy.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/df6yhec2qwxze",
  "venue": "Translational lung cancer research",
  "versions": []
}