Subxiphoid Video-Assisted Thoracoscopic Surgery for Lung Resection Under Spontaneous Ventilation:
Case Report:

Sira Laohathai MD¹, Ratchaya Weerayutwattana MD², Pornsiri Wannadilok MD², Sujaree Poopipatpab MD², Chompunoot Pathonsamit MD²

Affiliation : ¹ Cardiothoracic Surgery Unit, Department of Surgery, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand ² Department of Anesthesia, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand

This case report describes two patients that underwent successful video-assisted thoracoscopic surgery (VATS) lung resections under spontaneous ventilation using the uniportal subxiphoid approach. The authors performed lung wedge resection in both patients under local anesthesia without using of a Foley catheter, arterial line, or intercostal chest drain. Only intravenous drugs and an oxygen mask with reservoir bag were used. The postsurgical course for both patients was uneventful. Both were discharged on postoperative day 2 and were doing well at 1- and 3-month follow-ups.
Received 5 July 2021 | Revised 27 September 2021 | Accepted 30 September 2021

doi.org/10.35755/jmedassocthai.2021.11.13117

Keywords : Subxiphoid approach; Pulmonary resection; Lung cancer

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