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Anesthesia for video-assisted thoracoscopic surgery (VATS) for pulmonary resection

Philip Hartigan, MD
Section Editor
Peter D Slinger, MD, FRCPC
Deputy Editor
Nancy A Nussmeier, MD, FAHA


The term video-assisted thoracoscopic surgery (VATS) describes minimally invasive thoracic surgical procedures performed with the aid of a video camera to avoid more invasive open thoracotomy. VATS typically involves one small, 4- to 8-cm incision for the camera, plus up to three additional small incisions for insertion of other instruments (figure 1). This approach is used in selected patients to diagnose or treat intrathoracic or chest wall masses and other abnormalities, such as pericardial or pleural effusions. Compared with a thoracotomy, postoperative pain is minimized and other early outcomes may be improved by avoiding use of a rib spreader, severing of the intercostal nerves, or division of muscle tissue [1-3].

This topic will review anesthetic care for patients undergoing VATS for pulmonary resection. Anesthetic management for other VATS procedures (eg, pericardial window, drainage of pleural effusion, esophageal procedures) is similar. Anesthetic considerations for open thoracotomy with pulmonary resection as well as details regarding principles of one lung ventilation (OLV) and lung isolation techniques that are necessary for many VATS procedures are found in other topics:

(See "Anesthesia for open pulmonary resection".)

(See "General principles of one lung ventilation".)

(See "Lung isolation techniques".)

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Literature review current through: Nov 2017. | This topic last updated: Jun 08, 2017.
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