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EnglishGeneral anesthesia with one-lung ventilation is considered mandatory for videothoracoscopic pulmonary resection but has some adverse effects, which can contribute to the overall procedure-related morbidity. This finding has led to the concept of a more physiologic and globally less-invasive approach, entailing awake thoracoscopic pulmonary resection under sole epidural anesthesia. Indications, although still investigational, include resection of undetermined solitary pulmonary nodules, pulmonary metastases, and non-small cell lung cancer in high-risk patients. Preliminary results have been highly satisfactory, showing that this modality is feasible, safe, and effective. Furthermore, some evidence seems to show that this patient-friendly approach could be more cost-effective, allow a more rapid recovery, and require reduced hospitalization. Further investigation and larger prospective studies will eventually confirm the real effectiveness and proper indications of awake videothoracoscopic pulmonary resections. © 2008 Elsevier Inc. All rights reserved.
Pompeo, E., & Mineo, T.C. (2008). Awake Operative Videothoracoscopic Pulmonary Resections. THORACIC SURGERY CLINICS, 18(3), 311-320.
| Tipologia: | Articolo su rivista |
| Citazione: | Pompeo, E., & Mineo, T.C. (2008). Awake Operative Videothoracoscopic Pulmonary Resections. THORACIC SURGERY CLINICS, 18(3), 311-320. |
| IF: | Con Impact Factor ISI |
| Lingua: | English |
| Settore Scientifico Disciplinare: | Settore MED/21 - Chirurgia Toracica |
| Revisione (peer review): | Sì, ma tipo non specificato |
| Tipo: | Articolo |
| Rilevanza: | Rilevanza internazionale |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.thorsurg.2008.04.006 |
| Stato di pubblicazione: | Pubblicato |
| Data di pubblicazione: | 2008 |
| Titolo: | Awake Operative Videothoracoscopic Pulmonary Resections |
| Autori: | |
| Autori: | Pompeo, E; Mineo, TC |
| Appare nelle tipologie: | 01 - Articolo su rivista |
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http://hdl.handle.net/2108/28728
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