Scientific publications

Clinical guide to perioperative management for videothoracoscopy lung resection (Section of Cardiac, Vascular and Thoracic Anesthesia, SEDAR; Spanish Society of Thoracic Surgery, SECT; Spanish Society of Physiotherapy)

May 1, 2022 | Magazine: Revista Española de Anestesiología y Reanimación

M Granell-Gil  1 , M Murcia-Anaya  2 , S Sevilla  3 , R Martínez-Plumed  4 , E Biosca-Pérez  4 , F Cózar-Bernal  5 , I Garutti  6 , L Gallart  7 , B Ubierna-Ferreras  8 , I Sukia-Zilbeti  8 , C Gálvez-Muñoz  9 , M Delgado-Roel  10 , L Mínguez  11 , S Bermejo  7 , O Valencia  12 , M Real  12 , C Unzueta  13 , C Ferrando  14 , F Sánchez  15 , S González  16 , C Ruiz-Villén  17 , A Lluch  11 , A Hernández  18 , J Hernández-Beslmeisl  19 , M Vives  20 , R Vicente  21


The introduction of video-assisted thoracoscopic (VATS) techniques has led to a new approach in thoracic surgery. VATS is performed by inserting a thoracoscope through a small incisions in the chest wall, thus maximizing the preservation of muscle and tissue. Because of its low rate of morbidity and mortality, VATS is currently the technique of choice in most thoracic procedures.

Lung resection by VATS reduces prolonged air leaks, arrhythmia, pneumonia, postoperative pain and inflammatory markers. This reduction in postoperative complications shortens hospital length of stay, and is particularly beneficial in high-risk patients with low tolerance to thoracotomy. Compared with conventional thoracotomy, the oncological results of VATS surgery are similar or even superior to those of open surgery.

This aim of this multidisciplinary position statement produced by the thoracic surgery working group of the Spanish Society of Anesthesiology and Reanimation (SEDAR), the Spanish Society of Thoracic Surgery (SECT), and the Spanish Association of Physiotherapy (AEF) is to standardize and disseminate a series of perioperative anaesthesia management guidelines for patients undergoing VATS lung resection surgery. Each recommendation is based on an in-depth review of the available literature by the authors.

In this document, the care of patients undergoing VATS surgery is organized in sections, starting with the surgical approach, and followed by the three pillars of anaesthesia management: preoperative, intraoperative, and postoperative anaesthesia.

CITATION  Rev Esp Anestesiol Reanim (Engl Ed). 2022 May;69(5):266-301. doi: 10.1016/j.redare.2021.03.015.  Epub 2022 May 21.