Comparative analysis of safety and outcomes of Non-intubated versus intubated uniportal video-assisted thoracic surgery using propensity score matching: a single-center experience expanding indications beyond traditional restrictions - Takeaways - MDSpire

Comparative analysis of safety and outcomes of Non-intubated versus intubated uniportal video-assisted thoracic surgery using propensity score matching: a single-center experience expanding indications beyond traditional restrictions

  • By

  • Fahim Kanani

  • Ingrid Grebneva

  • Diego González Rivas

  • Khaled Aotman

  • Anas Salhab

  • Rijini Nugzar

  • Mordechai Shimonov

  • Firas Abu Akar

  • April 15, 2026

  • 0 min

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  • 1

    Non-intubated uniportal video-assisted thoracoscopic surgery (NI-UVATS) is a viable alternative to intubated approaches for thoracic procedures.

  • 2

    A total of 289 VATS procedures were analyzed, with 166 patients undergoing intubated UVATS (I-UVATS) and 123 patients undergoing NI-UVATS.

  • 3

    After matching, serious complications were 14.3% for I-UVATS and 11.2% for NI-UVATS, indicating comparable safety profiles.

  • 4

    Operative time was longer for NI-UVATS, with a median of 52 minutes compared to 37 minutes for I-UVATS.

  • 5

    NI-UVATS showed safety for low-to-medium complexity procedures, while anatomical resections remain primarily performed under intubation.

Original Source(s)

Comparative analysis of safety and outcomes of Non-intubated versus intubated uniportal video-assisted thoracic surgery using propensity score matching: a single-center experience expanding indications beyond traditional restrictions

  • by Fahim Kanani, Ingrid Grebneva, Diego González Rivas, Khaled Aotman, Anas Salhab, Rijini Nugzar, Mordechai Shimonov, Firas Abu Akar

  • April 15, 2026

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