ArticleJournal of thoracic disease2026
Intraoperative management and postoperative outcomes of patients with high body mass index undergoing tubeless anesthesia for non-intubated uniportal video-assisted thoracoscopic surgery: a single-center retrospective propensity score matching study.
Article in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Tubeless anesthesia for non-intubated uniportal video-assisted thoracoscopic surgery (NI-UniVATS) has been widely used in various thoracic surgical procedures. However, most patients selected for this procedure have a normal body mass index (BMI), and the impact of this surgery on patients with high BMI (H-BMI) remains unclear. The study aims to evaluate the perioperative course of NI-UniVATS in H-BMI patients. Methods: A retrospective analysis was conducted on data from patients who underwent tubeless anesthesia for NI-UniVATS at The Affiliated Hospital of Hebei University between June 2023 and June 2025. A total of 414 eligible patients were included, with 38 in the H-BMI group (BMI ≥28 kg/m Results: The clinical characteristics of the two groups were comparable, including age (P=0.78), gender (P=0.81), and surgical type (P=0.84). The number of intraoperative anesthetic adjustments was significantly higher in the H-BMI group than in the NH-BMI group (1.39±1.36 Conclusions: Compared with NH-BMI patients, H-BMI patients undergoing NI-UniVATS have similar intraoperative conditions and postoperative outcomes, but require more intraoperative anesthetic adjustments.
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