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Peer-reviewedCC BY-NC-NDTranslational lung cancer research

Evaluation of short term outcomes of tubeless thoracoscopic lobectomy.

  • Tuo Xing1,2,3,4
  • Chao Yang2,3,4
  • Yuan Zeng2,3,4
  • Fuli Li2,3,4
  • Wenhua Liang2,3,4
  • Jianxing He1,2,3,4
4 affiliations
  1. 1Southern Medical University and The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
  2. 2Department of Thoracic Surgery and Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
  3. 3Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease, Guangzhou, China.
  4. 4National Clinical Research Center for Respiratory Disease, Guangzhou, China.
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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.

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Cite

BibTeXRIS
BibTeX
@article{xing2026evaluation,
  title = {{Evaluation of short term outcomes of tubeless thoracoscopic lobectomy.}},
  author = {Tuo Xing and Chao Yang and Yuan Zeng and Fuli Li and Wenhua Liang and Jianxing He},
  journal = {Translational lung cancer research},
  year = {2026},
  month = oct,
  doi = {10.21037/tlcr-2026-0431},
  url = {https://europepmc.org/article/MED/42999433},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Evaluation of short term outcomes of tubeless thoracoscopic lobectomy.
AU  - Tuo Xing
AU  - Chao Yang
AU  - Yuan Zeng
AU  - Fuli Li
AU  - Wenhua Liang
AU  - Jianxing He
PY  - 2026
DA  - 2026/10/26
JO  - Translational lung cancer research
DO  - 10.21037/tlcr-2026-0431
UR  - https://europepmc.org/article/MED/42999433
AB  - 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.
SN  - 2218-6751
SN  - 2226-4477
ER  -