The non-intubated anesthesia for airway surgery

Thoracoscopic surgery has become a standard surgical approach for a variety of thoracic diseases. This approach is regarded as minimally invasive surgery and is performed under tracheal intubation with double lumen tube or bronchial blocker to achieve single-lung ventilation under general anesthesia. Recently, thoracoscopic surgery without tracheal intubation under local and regional anesthesia has been reported to be safe and less invasive for lung, pleura and mediastinum operations than intubated methods. The operative procedures suitable for non-intubated anesthesia have been expanding to include tracheal resection followed by reconstruction. We herein report the feasibility and safety of non-intubated airway surgery