I enjoyed reading your letter to the editor on nonintubated thoracic surgery (NITS), written with a scientific and philosophical approach in this issue of CTS. While drawing attention to the high skepticism and distancing from this approach among thoracic surgeons, the advantages and disadvantages of the procedure are clearly stated. NITS, which has been recently introduced in our country, has only been used in a few thoracic surgery centers and in small pleural and pulmonary procedures. This is not only because the application is new for us. The incomplete evaluation of data from large series and, of course, surgical conservatism are other reasons. Although the 10th, 11th and 13th literatures clearly point out the reliability of NITS, in my opinion, what is needed for widespread application is knowledge and time. Whether NITS will be just another brick in the wall in a limited sense or a surgical-anesthesiologic roof in a new and inclusive sense will be determined by evaluating the results of large series. I believe that this letter to the editor will broaden the horizons of the readers of our journal.

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