Zhang Ruixiang, Liu Shilei, Sun Haibo, Liu Xianben, Wang Zongfei, Qin Jianjun, Hua Xionghuai, Li Yin
Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China
Interact Cardiovasc Thorac Surg. 2014 Aug;19(2):308-10. doi: 10.1093/icvts/ivu100. Epub 2014 Apr 15.
Double-lumen endotracheal tube (DLET) anaesthesia is the commonly used method in minimally invasive oesophagectomy (MIE). However, DLET intubation does have its disadvantages. Firstly, the placement of the DLET needs a skilled anaesthetist with familiarity of the technique and subsequent ability to perform a fibre-optic bronchoscopy for confirmation. Secondly, DLET intubation and one-lung ventilation are associated with numerous complications, including hoarseness, tracheobronchial injury and vocal injury. In this report, a retrospective analysis was performed on 42 consecutive patients who underwent MIE using single-lumen endotracheal tube (SLET) anaesthesia with CO2 artificial pneumothorax compared with 81 patients who underwent the same procedure with DLET intubation. Our findings showed that SLET intubation with artificial pneumothorax by CO2 insufflation is a feasible and safe method for MIE procedures.
双腔气管插管（DLET）麻醉是微创食管癌切除术（MIE）中常用的方法。然而，DLET插管确实存在其缺点。首先，DLET的放置需要一名熟练掌握该技术且随后有能力进行纤维支气管镜检查以确认的麻醉师。其次，DLET插管和单肺通气与众多并发症相关，包括声音嘶哑、气管支气管损伤和声带损伤。在本报告中，对42例连续接受单腔气管插管（SLET）麻醉并使用二氧化碳人工气胸的MIE患者进行了回顾性分析，并与81例接受DLET插管进行相同手术的患者进行了比较。我们的研究结果表明，通过二氧化碳注入进行人工气胸的SLET插管是一种用于MIE手术的可行且安全的方法。
