Use of single-lumen tube for minimally invasive and hybrid esophagectomies with prone thoracoscopic dissection: case series |
| |
| Institution: | 1. Department of Anaesthesia and Intensive Care, G.B. Pant Hospital, New Delhi, India;2. Department of G.I. Surgery, G.B. Pant Hospital, New Delhi, India;1. Faculty of Medicine, The University of Calgary, Medical Class of 2016, 4212 Bowness Road NW, Calgary, AB T3B0A3, Canada;2. Department of Anesthesia, Foothills Medical Centre, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada;3. Anesthesia Residency Program, C-229 Foothills Medical Centre, 3330 Hospital Drive NW, Calgary, AB T2N 4N1, Canada;4. University of Calgary, Rockyview General Hospital, 7007 14 St SW, Calgary, AB T2V 1P9, Canada;5. South Health Campus, Calgary Health Region, 4448 Front Street, Calgary, AB T3M 1M4, Canada |
| |
| Abstract: | Minimally invasive and hybrid minimally invasive esophagectomy (MIE) is a technically challenging procedure. Anesthesia for the same is equally challenging due to special requirements of the video-assisted thoracoscopic technique used and shared operative and respiratory fields. Standard ventilatory strategy for this kind of surgery has been 1-lung ventilation with the help of a double-lumen tube. Prone positioning for thoracoscopic dissection facilitates gravity-dependant collapse of the operative side lung induced by a unilateral capnothorax, thus making the use of single-lumen endotracheal tube a feasible option for this surgery. We report our experience of 10 consecutive cases of minimally invasive esophagectomy conducted in prone position at our center and the use of single-lumen endotracheal tube for ventilation. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
