Non-intubated thoracic surgery: an Asian perspective
非插管胸外科手术：亚洲视角
挿管されていない胸部外科：アジアの視点
삽관하지 않은 흉부 수술: 동양인의 관점
Cirugía torácica no intubada: una perspectiva asiática
Chirurgie thoracique non intubée : une perspective asiatique
Неинтубированная торакальная хирургия: азиатская перспектива
Shuben Li 李树本 ¹ ², Yunpeng Zhong 钟云鹏 ¹ ², Zhuxing Chen ¹ ², Jun Liu 刘君 ¹ ², Jianxing He 何建行 ¹ ², Alan D. L. Sihoe 司徒达麟 ³ ⁴
¹ Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
中国 广州 广州医科大学第一附属医院胸外科
² Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou, China
中国 广州 中国呼吸疾病国家重点实验室
³ Gleneagles Hong Kong Hospital, Hong Kong, China
中国 香港 港怡医院
⁴ International Medical Centre, Hong Kong, China
中国 香港国际医疗中心
Video-Assisted Thoracic Surgery, 15 September 2021
Abstract
Thoracic surgery without the use of modern general anesthesia and endotracheal intubation has a surprisingly long history in Asia. Over a half century ago, thoracic operations via thoracotomy were performed in China using acupuncture for pain suppression in awake patients.
Today, East Asia continues to pioneer major thoracic operations using non-intubated techniques. A number of centers in Asia have now emerged as leaders in the development of the technique, production of clinical data, and training for the use of non-intubated thoracic surgery. Wider adoption of the non-intubated strategy across Asia is still relatively limited by the quality and evidence of the evidence thus far.
However, encouraging developments in shaping and improving clinical research for non-intubated thoracic surgery in Asia suggest that this part of the world will continue to hold a central role in the future of the technique.
