Non-intubated Thoracoscopic Surgery for Lung Lesions in Patients With Impaired Pulmonary Function

What this Trial Is About

Some patients with impaired lung function need minimally invasive surgery for conditions like lung cancer, benign lung tumors, pneumothorax, or lung volume reduction. Often, those with borderline lung function cannot be immediately taken off breathing support after surgery under traditional care and require close monitoring in the surgical ICU. However, using a breathing tube and mechanical ventilation in these cases can cause airway injury and prolonged air leaks, increasing the risk of respiratory failure after surgery. This research studies a non-intubated thoracoscopic surgery approach, which allows patients to keep breathing on their own without a breathing tube. This method avoids airway damage caused by intubation and mechanical ventilation and may reduce complications and ICU transfers. The study focuses on patients undergoing single-port, minimally invasive lung surgery with impaired lung function, aiming to clarify when this tubeless technique is suitable, how to decide on ICU transfer, and evaluate the safety and feasibility of this comprehensive management. Participants will be observed during their surgical treatment and recovery. Researchers will assess outcomes like complication rates within 30 days after surgery. The study includes preoperative assessments, multidisciplinary discussions, and postoperative monitoring to identify risks and improve protocols. Data analysis will help define lung function criteria and protocols to expand safe use of non-intubated surgery, potentially improving recovery, lowering complications, and reducing hospital stays and costs.

Tubeless Surgery With Impaired Pulmonary Function