{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:23:43Z","timestamp":1776299023379,"version":"3.50.1"},"reference-count":45,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: Non-intubated uniportal video-assisted thoracoscopic surgery (NI-UniVATS) is a minimally invasive technique performed using a single port, allowing the entire surgical procedure to be completed with spontaneous breathing without the need for general anesthesia. Materials and Methods: This retrospective study included 51 patients who underwent NI-UniVATS between 2020 and 2023. The intraoperative and postoperative data of patients who underwent NI-UniVATS were evaluated. Results: Among the cases, 37 (72.5%) were male, and 14 (46.6%) were female, with a mean age of 47.73 \u00b1 20.43 years (range: 18\u201378 years). The mean operative time was 25.92 \u00b1 7.31 min. No perioperative complications were observed in any patient. The mean postoperative hospital stay was 4.17 \u00b1 1.76 days (range: 2\u20139 days). A right hemithoracic approach was performed in 28 patients (54.9%), whereas a left hemithoracic approach was used in 23 patients (45.1%). The procedures performed included wedge resection in 27 patients (52.9%), biopsy in 22 patients (43.1%), pericardial window creation in one patient (2%), and intrathoracic foreign body removal in one patient (2%). Conclusions: NI-UniVATS allows for safer surgery by preventing the adverse effects and complications associated with general anesthesia. NI-UniVATS can be recommended as a safe and feasible approach for both minor and major thoracic procedures.<\/jats:p>","DOI":"10.3390\/medicina61040641","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T07:47:44Z","timestamp":1743580064000},"page":"641","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Current New Approach in Thoracoscopic Surgery: Non-Intubated Uniportal Video-Assisted Thoracoscopic Surgery (NI-UniVATS)"],"prefix":"10.3390","volume":"61","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4129-766X","authenticated-orcid":false,"given":"Mehmet","family":"Agar","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Medicine Faculty, Firat University, 23200 Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-455X","authenticated-orcid":false,"given":"Ilham","family":"Gulcek","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Gaziantep City Hospital, 27470 Gaziantep, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammed","family":"Kalkan","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Malatya Training and Research Hospital, 44330 Malatya, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9603-7323","authenticated-orcid":false,"given":"Hakki","family":"Ulutas","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medicine Faculty, Izmir Economics University, 35330 Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammet Reha","family":"Cel\u0131k","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medicine Faculty, Atilim University, 06805 Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Aksu","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Reanimation, Faculty of Medicine, Firat University, 23200 Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyami","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medicine Faculty, Firat University, 23200 Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muharrem","family":"Cakmak","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Medicine Faculty, Firat University, 23200 Elazig, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"ref_1","first-page":"106","article-title":"State of the Art and Perspectives in Non-Intubated Thoracic Surgery","volume":"2","author":"Pompeo","year":"2014","journal-title":"Ann. 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