{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:24:23Z","timestamp":1789579463499,"version":"build-2803163510"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Awake video-assisted thoracoscopic surgery (VATS) helps to avoid the adverse effects of general anaesthesia (GA) with single-lung ventilation. Its usage in anatomic and non-anatomic pulmonary resections has spread worldwide, and it is mostly performed under thoracic epidural analgesia (TEA). We herein report our surgical experience with awake VATS non-anatomical resections under the thoracic paravertebral block (TPB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This retrospective, single-centred study reviewed patients undergoing awake VATS non-anatomical pulmonary resection under TPB, who voluntarily accepted awake VATS despite being suitable for GA and were found unsuitable for GA based on pre-operative assessment results. Demographic, pre-, per- and post-operative data were collected, analysed and compared with the literature data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-four patients (16 patients with normal pre-operative assessment results and 8 patients having high risk for GA) were selected. Fourteen bullectomies for recurrent spontaneous pneumothorax and 10 wedge resections (nine for metastasectomy and one for lung biopsy) were performed. Global in-operating room time was 77 \u00b1 31 min. The morbidity rate was 20.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5), including prolonged air leak in three and pneumonia in two patients. The mean duration of the chest tube was 1.9 \u00b1 1.5 days and mean duration of hospital stay was 3.5 \u00b1 2.1 days. There was no in-hospital mortality. Our results were mostly similar to the literature data.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Non-anatomical lung resections by VATS can be performed easily and safely under TPB in awake patients. Although the perioperative and post-operative outcomes are not superior to other anaesthesia approaches, preferring TPB may help to avoid the serious potential complications of TEA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_124_24","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T12:15:05Z","timestamp":1728562505000},"page":"189-194","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Awake thoracoscopic non-anatomic pulmonary resections under thoracic paravertebral block: Results of a tertiary referral centre"],"prefix":"10.4103","volume":"21","author":[{"given":"Onur","family":"Derdiyok","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Unit of Thoracic Surgery, Sisli Hamidiye Etfal Research and Training Hospital, University of Health Sciences, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"U\u011fur","family":"Temel","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, \u015ei\u015fli Hamidiye Etfal Research and Training Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"R1-20250410","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/1759-7714.12070","article-title":"From \u201cawake\u201d to \u201cmonitored anesthesia care\u201d thoracic surgery: A 15 year evolution","volume":"5","author":"Mineo","year":"2014","journal-title":"Thorac Cancer"},{"key":"R2-20250410","doi-asserted-by":"crossref","first-page":"S364","DOI":"10.21037\/jtd.2016.04.39","article-title":"Non-intubated video-assisted thoracic surgery: Where does evidence stand?","volume":"8","author":"Tacconi","year":"2016","journal-title":"J Thorac 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