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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2023; 12(01): e54-e56
DOI: 10.1055/a-2178-0485
Case Report: Thoracic

Awake Uniportal VATS for the Evacuation of an Extensive, Superinfected Hemothorax in a Patient with Advanced Mediastinal SMARCA4-Deficient Tumor

Dominik Lobinger
1   Department of Thoracic Surgery, München Klinik Bogenhausen, Munchen, Germany
,
Alicia Reiche
1   Department of Thoracic Surgery, München Klinik Bogenhausen, Munchen, Germany
,
Andreas Hiebinger
1   Department of Thoracic Surgery, München Klinik Bogenhausen, Munchen, Germany
,
Johannes Bodner
1   Department of Thoracic Surgery, München Klinik Bogenhausen, Munchen, Germany
› Author Affiliations Funding None.
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Abstract

Background The so-called nonintubated or awake video-assisted thoracoscopic surgery (NIVATS) is performed on spontaneously breathing patients, which was shown to reduce postoperative complications and shorten hospital stay.

Case Description Awake uniportal VATS was indicated for the evacuation of an extensive, superinfected hemothorax with symptomatic mediastinal shift in a patient with advanced mediastinal SMARCA4-deficient tumor and declined condition, who did not allow a general anesthetic procedure and was not a candidate for extensive surgery.

Conclusion This short microinvasive intervention was a prerequisite to stabilize the threat to the patient's life and thus potentially enable any further tumor-specific therapy.

Keywords

thoracic surgery - mediastinal tumor - minimally invasive surgery - pathology - pleural disease - thoracoscopy/VATS


Publication History

Received: 11 May 2023

Accepted: 11 September 2023

Accepted Manuscript online:
19 September 2023

Article published online:
23 October 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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