Application and advantages of intrathoracic paravertebral block in uniportal video-assisted thoracoscopic surgery - Report - MDSpire

Application and advantages of intrathoracic paravertebral block in uniportal video-assisted thoracoscopic surgery

  • By

  • Zhengjun Li

  • Siwei Chao

  • Shuai Ma

  • Ding Li

  • Chang Liu

  • Sibo You

  • Guofeng Zhang

  • Xiangchao Zhang

  • Shiyuan Song

  • Tao Wang

  • Yi Ren

  • July 2, 2026

  • 0 min

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Clinical Report: Benefits and Implementation of Intrathoracic Paravertebral Block

Overview

This study evaluates the feasibility and advantages of thoracoscopic paravertebral block in patients undergoing uniportal video-assisted thoracoscopic surgery (VATS).

Background

Uniportal VATS is a minimally invasive surgical technique that reduces postoperative pain but does not eliminate it entirely. Effective pain management is crucial to enhance recovery and patient satisfaction. Thoracic paravertebral block (PVB) is a regional anesthesia technique that may provide effective analgesia while minimizing opioid use.

Data Highlights

GroupPatientsPostoperative ComplicationsVAS Scores
Group A (Direct-vision PVB)122Less frequentLower
Group B (Ultrasound-guided PVB)106More frequentHigher

Key Findings

  • No significant demographic or clinical differences between the two groups (P > 0.05).
  • Group A experienced fewer postoperative complications compared to Group B.
  • Significant differences in VAS scores were observed over time between the two groups (P < 0.001).
  • Thoracoscopic PVB was associated with lower rescue tramadol requirements.
  • No intraoperative or 30-day postoperative mortality occurred in either group.

Clinical Implications

The findings suggest that thoracoscopic paravertebral block may be a preferable option for pain management in uniportal VATS, potentially leading to improved postoperative outcomes. Clinicians should consider this technique as part of a multimodal analgesia strategy.

Conclusion

Thoracoscopic paravertebral block is a method for managing postoperative pain in uniportal VATS.

Related Resources & Content

  1. Frontiers in Medicine, 2026 -- Efficacy of different nerve block techniques with liposomal bupivacaine for postoperative analgesia in patients undergoing single-port video-assisted thoracoscopic partial lung resection
  2. Frontiers in Anesthesiology, 2026 -- Case Report: Thoracic paravertebral catheter positioning for postoperative continuous analgesia
  3. Obesity Surgery, 2025 -- Impact of Ultrasound-Guided Multipoint Thoracic Paravertebral Nerve Block on Outcomes in Metabolic and Bariatric Surgery: A Prospective Randomized Controlled Study
  4. Thoracoscopy-Guided vs. Ultrasound-Guided Paravertebral Block in Thoracoscopic Surgery: A Non-Inferiority Randomized Trial
  5. Thoracic - ERAS® Society -- Guidelines and consensus
  6. Surgical Endoscopy — Innovative Periareolar Technique for Video-Assisted Thoracoscopic Right Middle Lobectomy
  7. Thoracic - ERAS® Society
  8. Thoracoscopy-Guided vs. Ultrasound-Guided Paravertebral Block in Thoracoscopic Surgery: A Non-Inferiority Randomized Trial
  9. Thoracic Paravertebral Block - StatPearls - NCBI Bookshelf

Original Source(s)

Application and advantages of intrathoracic paravertebral block in uniportal video-assisted thoracoscopic surgery

  • by Zhengjun Li, Siwei Chao, Shuai Ma, Ding Li, Chang Liu, Sibo You, Guofeng Zhang, Xiangchao Zhang, Shiyuan Song, Tao Wang, Yi Ren

  • July 2, 2026

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