Tubeless major pulmonary resections

Following the turn of the century, modern thoracic surgery has achieved major improvements in morbidity and patient recovery through innovation aimed to reduce invasiveness. From the surgical standpoint, video-assisted thoracic surgery (VATS) has been the foremost contribution to this paradigm shift and has not ever ceased to evolve from multiportal minor resections to complex uniportal lung sparing procedures (1,2). In the meanwhile, less invasive anaesthetic techniques remained uncharted until recently