Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2762159 | Journal of Clinical Anesthesia | 2016 | 6 Pages |
•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.