{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:48:12Z","timestamp":1792165692644,"version":"4.4.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"Abstract<\/jats:title>\n \n Non-intubated video-assisted thoracoscopic surgery (NIVATS) minimises airway trauma and ventilator-induced lung injury, yet its application in complex, multi-phase McKeown oesophagectomy is seldom reported. A 32-year-old female (40 kg, 140 cm and body mass index: 20.4 kg\/m\n 2<\/jats:sup>\n ) presented for McKeown minimally invasive oesophagectomy following neoadjuvant chemoradiotherapy. We employed a \u2018less invasive anaesthesia\u2019 strategy combining T9\u2013T10 thoracic epidural analgesia with Bispectral Index-guided target-controlled propofol infusion. Continuous pressure support ventilation (16 cmH\n 2<\/jats:sub>\n O above a positive end-expiratory pressure of 5 cmH\n 2<\/jats:sub>\n O) with preserved spontaneous breathing was maintained via a size 3 i-gel\u2122 throughout surgery; neuromuscular blockade and controlled mechanical ventilation were not used at any stage. Surgical exposure was optimised via right-sided capnothorax. The resulting permissive hypercapnia was haemodynamically well-tolerated. Recovery was uneventful, and the airway device was removed after protective airway reflexes had returned. She was discharged from the hospital on post-operative day 6 without any complications. NIVATS for McKeown oesophagectomy may be feasible in carefully selected patients.\n <\/jats:p>","DOI":"10.4103\/jmas.jmas_302_26","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:00:11Z","timestamp":1792162811000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Non-intubated video-assisted thoracoscopic McKeown oesophagectomy using i-gel\u2122 and continuous pressure support ventilation: A case report"],"prefix":"10.4103","author":[{"given":"Megha","family":"Ranjan","sequence":"first","affiliation":[{"name":"Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRA IRCH, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Sirohiya","sequence":"additional","affiliation":[{"name":"Department of Onco-Anaesthesia and Palliative Medicine, National Cancer Institute (Jhajjar), AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prateek","family":"Maurya","sequence":"additional","affiliation":[{"name":"Department of Onco-Anaesthesia and Palliative Medicine, National Cancer Institute (Jhajjar), AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgical Oncology, National Cancer Institute (Jhajjar), AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"R1-20261016","doi-asserted-by":"crossref","first-page":"9763","DOI":"10.21037\/jtd-2025-641","article-title":"Comparison of short-term outcomes between non-intubated and intubated video-assisted thoracoscopic surgery: A propensity score matching analysis","volume":"17","author":"Lu","year":"2025","journal-title":"J Thorac Dis"},{"key":"R2-20261016","doi-asserted-by":"crossref","first-page":"5014","DOI":"10.21037\/jtd-2024-2272","article-title":"McKeown minimally invasive esophagectomy under discontinuous spontaneous ventilating anesthesia by laryngeal mask: A retrospective non-inferiority cohort study","volume":"17","author":"Liu","year":"2025","journal-title":"J Thorac Dis"},{"key":"R3-20261016","doi-asserted-by":"crossref","first-page":"783859","DOI":"10.3389\/fsurg.2021.783859","article-title":"Case report: Discontinuous spontaneous ventilating anesthesia for McKeown esophagectomy by laryngeal mask: A case series-a novel approach of discontinuous spontaneous ventilating anesthesia for esophagectomy","volume":"8","author":"Xu","year":"2021","journal-title":"Front Surg"},{"key":"R4-20261016","doi-asserted-by":"crossref","first-page":"1344662","DOI":"10.3389\/fonc.2024.1344662","article-title":"Minimally invasive esophagectomy with non-invasive ventilation by laryngeal mask-assisted anesthesia for esophageal squamous cell carcinoma: Case report","volume":"14","author":"Che","year":"2024","journal-title":"Front Oncol"},{"key":"R5-20261016","doi-asserted-by":"crossref","first-page":"822560","DOI":"10.3389\/fsurg.2022.822560","article-title":"Pathophysiological advantages of spontaneous ventilation","volume":"9","author":"Lantos","year":"2022","journal-title":"Front Surg"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_302_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:00:12Z","timestamp":1792162812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_302_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":5,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_302_26","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"2026-05-20","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}