Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S21-5. doi: 10.4097/kjae.2010.59.S.S21. Epub 2010 Dec 31.
Lung separation using a double-lumen endobronchial tube is necessary for video assisted thoracoscopy (VATs). Bronchial rupture after intubation with a double-lumen endobronchial tube has been rarely reported. We report a case of a 70-year-old man who had solitary pulmonary nodule in his right upper lobe. He was intubated with a left-sided Robertshaw double-lumen endobronchial tube. He underwent a VATs right upper lobectomy with the one-lung ventilation of left lung. During the operation, the rupture of the left mainstem bronchus was detected. Immediately, the thoracotomy was performed and the ruptured left mainstem bronchus was repaired with absorbable sutures (vicryl). Seven days later he had a bronchoscopy to examine the left mainstem bronchus. There was no evidence of the bleeding, leakage and inflammation. Subsequent course was uneventful. Tracheobronchial injuries related to the double-lumen endobronchial tube are discussed.
使用双腔支气管内管进行肺分离是胸腔镜手术（VATS）所必需的。使用双腔支气管内管插管后支气管破裂很少见。我们报告了一例 70 岁男性，右上肺有孤立性肺结节。他使用左侧 Robertshaw 双腔支气管内管插管。他接受了胸腔镜右上肺叶切除术，同时进行左侧单肺通气。在手术过程中，发现左主支气管破裂。立即进行开胸手术，用可吸收缝线（薇乔）修复破裂的左主支气管。7 天后，他进行了支气管镜检查以检查左主支气管。没有出血、漏液和炎症的证据。随后的过程顺利。讨论了与双腔支气管内管相关的气管支气管损伤。
