Use of single-lumen tube for minimally invasive and hybrid esophagectomies with prone thoracoscopic dissection: case series

• Use of single-lumen endotracheal tube in minimally invasive esophagectomy entailing prone thoracoscopic dissection
• Points in favor of single-lumen endotracheal tube for minimally invasive esophagectomy
• Points in favor of prone thoracoscopy facilitating avoidance of double-lumen tube

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.