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1000 cases of tubeless video-assisted thoracic surgery at the Rome Tor Vergata University

    Tommaso C Mineo

    *Author for correspondence:

    E-mail Address: mineo@med.uniroma2.it

    Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy

    ,
    Alessandro Tamburrini

    Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy

    ,
    Gianluca Perroni

    Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy

    &
    Vincenzo Ambrogi

    Official Awake Thoracic Surgery Research Group, Department of Thoracic Surgery Tor Vergata University, Policlinic Tor Vergata University, Viale Oxford 81, 00161, Rome, Italy

    Chief of the Minimally Invasive Thoracic Surgery Unit, Policlinico Tor Vergata, Rome, Italy

    Published Online:https://doi.org/10.2217/fon-2016-0348

    In the early 2000s, the ‘Awake Thoracic Surgery Research Group’ at Tor Vergata University began a program of thoracic operations in awake nonintubated patients. To our knowledge this was the first program created with this specific purpose. Since then over 1000 tubeless operations have been carried out successfully, making this series one of the widest in the world. Both nononcologic and oncologic conditions were successively approached and major operations for lung cancer are now being performed. Uniportal access was progressively adopted with significant positive outcomes in postoperative recovery, patient acceptance and economical costs. Failure rates due to patient's intolerance and open surgery conversion are progressively reducing. Tubeless thoracic surgery can be accomplished in a safe manner with effective results.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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