Non-intubated VATS for the management in primary spontaneous pneumothorax

Non-intubated VATS (NI-VATS) is a novel approach that aims to benefit the patient by obtaining the minimal surgical and anaesthetic invasion. In the last years, NI-VATS approach has shown encouraging results to treat primary spontaneous pneumothorax (PSP). The aim of this review is sumarize the experience of the authors developing a programme of NI-VATS surgery for treatment of PSP from 2013 to 2019 and to summarize the evidence about NI-VATS PSP treatment in the literature.