单孔电视辅助胸腔镜手术的麻醉：双腔、单腔和无管麻醉。
Anaesthesiology for uniportal VATS: double lumen, single lumen and tubeless.
作者信息
Zhao Ze-Rui, Lau Rainbow W H, Ng Calvin S H
机构信息
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China.
出版信息
J Vis Surg. 2017 Aug 21;3:108. doi: 10.21037/jovs.2017.07.05. eCollection 2017.
Abstract
The advent of one-lung ventilation (OLV) technique provides immobilized surgical field which is fundamental in minimally invasive thoracic surgery. Mainstem methods of achieving lung separation are either via a double-lumen endotracheal tube or placing a bronchial blocker (BB) through a single-lumen endotracheal tube. More recently, the use of non-intubated thoracic surgery (NITS) has been investigated intensively, attempting to minimise the complications that follow general anaesthesia. The aim of this review is to describe the mechanism of these techniques briefly and outlines the advantages and drawbacks of them with the comparison.
摘要
单肺通气（OLV）技术的出现提供了固定的手术视野，这在微创胸外科手术中至关重要。实现肺隔离的主要方法要么是通过双腔气管导管，要么是通过单腔气管导管放置支气管封堵器（BB）。最近，非插管胸外科手术（NITS）的应用受到了深入研究，旨在尽量减少全身麻醉后的并发症。这篇综述的目的是简要描述这些技术的机制，并通过比较概述它们的优缺点。
相似文献
1
Anaesthesiology for uniportal VATS: double lumen, single lumen and tubeless.单孔电视辅助胸腔镜手术的麻醉：双腔、单腔和无管麻醉。
J Vis Surg. 2017 Aug 21;3:108. doi: 10.21037/jovs.2017.07.05. eCollection 2017.
2
Bronchial Blocker Versus Left Double-Lumen Endotracheal Tube for One-Lung Ventilation in Right Video-Assisted Thoracoscopic Surgery.在右胸电视辅助胸腔镜手术中，支气管阻塞器与左侧双腔气管导管用于单肺通气的比较。
J Cardiothorac Vasc Anesth. 2018 Feb;32(1):297-301. doi: 10.1053/j.jvca.2017.07.026. Epub 2017 Jul 27.
3
Bending the rules: a novel approach to placement and retrospective experience with the 5 French Arndt endobronchial blocker in children <2 years.灵活变通：2岁以下儿童使用5法国Arndt支气管内封堵器的新型放置方法及回顾性经验
Paediatr Anaesth. 2016 May;26(5):512-20. doi: 10.1111/pan.12882. Epub 2016 Mar 9.
4
Bronchial blocker compared to double-lumen tube for one-lung ventilation during thoracoscopy.胸腔镜检查期间，支气管阻塞器与双腔管用于单肺通气的比较。
Acta Anaesthesiol Scand. 2001 Feb;45(2):250-4.
5
Uniportal thoracoscopic surgery: from medical thoracoscopy to non-intubated uniportal video-assisted major pulmonary resections.单孔胸腔镜手术：从内科胸腔镜到非插管单孔电视辅助肺大部切除术。
Ann Cardiothorac Surg. 2016 Mar;5(2):85-91. doi: 10.21037/acs.2016.03.07.
6
Bronchial blocker versus left double-lumen endotracheal tube in video-assisted thoracoscopic surgery: a randomized-controlled trial examining time and quality of lung deflation.支气管阻塞器与左侧双腔气管导管在电视辅助胸腔镜手术中的应用：一项关于肺萎陷时间和质量的随机对照试验
Can J Anaesth. 2016 Jul;63(7):818-27. doi: 10.1007/s12630-016-0657-3. Epub 2016 May 2.
7
A comparison of the disconnection technique with continuous bronchial suction for lung deflation when using the Arndt endobronchial blocker during video-assisted thoracoscopy: A randomised trial.在电视辅助胸腔镜手术中使用Arndt支气管内封堵器时，断开技术与持续支气管吸引用于肺萎陷的比较：一项随机试验。
Eur J Anaesthesiol. 2015 Jun;32(6):411-7. doi: 10.1097/EJA.0000000000000194.
8
A randomised comparison of the efficacy of a Coopdech bronchial blocker and a double-lumen endotracheal tube for minimally invasive esophagectomy.Coopdech支气管阻塞器与双腔气管导管用于微创食管切除术疗效的随机对照研究
Transl Cancer Res. 2020 Aug;9(8):4686-4692. doi: 10.21037/tcr-20-378.
9
Video-assisted thoracic surgery for spontaneous pneumothorax under two-lung ventilation and single-lumen endotracheal tube intubation.双肺通气和单腔气管插管下行电视辅助胸腔镜手术治疗自发性气胸
J Thorac Dis. 2023 Jul 31;15(7):3605-3611. doi: 10.21037/jtd-22-1413. Epub 2023 Jun 27.
10
Modified double lumen tube for a unique bronchial and carinal resection in a patient undergoing uniportal VATS for tumour: A case report.用于单孔胸腔镜手术治疗肿瘤患者的独特支气管和隆突切除的改良双腔管：一例报告
Transl Cancer Res. 2020 Mar;9(3):2077-2081. doi: 10.21037/tcr.2019.12.90.
引用本文的文献
1
Tailored single-lung ventilation approaches and postoperative pulmonary outcomes in thoracic surgery.胸外科手术中个性化单肺通气方法与术后肺部结局
J Thorac Dis. 2025 Jul 31;17(7):5371-5387. doi: 10.21037/jtd-2025-314. Epub 2025 Jul 28.
2
Bronchial Blockers versus Double-Lumen Endotracheal Tubes: Impact on Postoperative Pneumonia in Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Surgery - A Propensity Score-Matched Study.支气管封堵器与双腔气管导管：对接受电视辅助胸腔镜手术的肺癌患者术后肺炎的影响——一项倾向评分匹配研究
Risk Manag Healthc Policy. 2025 Jun 28;18:2189-2199. doi: 10.2147/RMHP.S521884. eCollection 2025.
3
Anesthesia for Minimally Invasive Coronary Artery Bypass Surgery.微创冠状动脉搭桥手术的麻醉
J Cardiovasc Dev Dis. 2025 Jun 18;12(6):232. doi: 10.3390/jcdd12060232.
4
Advances in the use of non-intubated spontaneous-ventilation video-assisted thoracoscopic surgery.非气管插管自主通气电视辅助胸腔镜手术的应用进展
Front Surg. 2025 Apr 10;12:1584017. doi: 10.3389/fsurg.2025.1584017. eCollection 2025.
5
Small incisions still require great anesthesia: anesthesiology techniques to enhance recovery in robotic coronary bypass grafting.小切口仍需要深度麻醉：提高机器人冠状动脉搭桥手术恢复效果的麻醉技术
Ann Cardiothorac Surg. 2024 Sep 29;13(5):409-416. doi: 10.21037/acs-2024-rcabg-0048. Epub 2024 Jun 26.
6
Effect of lung isolation with different airway devices on postoperative pneumonia in patients undergoing video-assisted thoracoscopic surgery: a propensity score-matched study.不同气道装置行肺隔离对接受电视辅助胸腔镜手术患者术后肺炎的影响：一项倾向评分匹配研究。
BMC Pulm Med. 2024 Apr 4;24(1):165. doi: 10.1186/s12890-024-02956-4.
7
Double Lumen Endobronchial Tube Placement for Lung Separation via a Tracheostomy Stoma in a Patient Status-Post Laryngectomy.在喉切除术后患者中经气管造口置入双腔支气管导管用于肺隔离
Cureus. 2023 Jun 2;15(6):e39858. doi: 10.7759/cureus.39858. eCollection 2023 Jun.
8
Opioid-sparing anesthesia with dexmedetomidine provides stable hemodynamic and short hospital stay in non-intubated video-assisted thoracoscopic surgery: a propensity score matching cohort study.右美托咪定辅助非插管视频辅助胸腔镜手术的阿片类药物节约麻醉：倾向评分匹配队列研究。
BMC Anesthesiol. 2023 Apr 3;23(1):110. doi: 10.1186/s12871-023-02032-0.
9
Cloward's approach for Pancoast neurogenic tumors: illustrative cases.克洛德治疗肺尖神经源性肿瘤的方法：病例说明
J Neurosurg Case Lessons. 2021 Jun 7;1(23):CASE2065. doi: 10.3171/CASE2065.
10
A propensity sore-matched study: Applying a modified chest tube drainage strategy in rapid rehabilitation following uni-portal thoracoscopic pulmonary wedge resection.一项倾向性匹配研究：在单孔胸腔镜肺楔形切除术后快速康复中应用改良胸腔引流策略。
Thorac Cancer. 2022 Jun;13(11):1657-1663. doi: 10.1111/1759-7714.14438. Epub 2022 Apr 28.
本文引用的文献
1
Tailored Therapy for Stage I Non-Small-Cell Lung Cancer.I期非小细胞肺癌的个体化治疗
J Clin Oncol. 2017 Jan 20;35(3):268-270. doi: 10.1200/JCO.2016.70.4718. Epub 2016 Nov 14.
2
Awake uniportal video-assisted thoracic surgery for complications after pneumonectomy.清醒单孔电视辅助胸腔镜手术治疗肺切除术后并发症
Future Oncol. 2016 Dec;12(23s):51-54. doi: 10.2217/fon-2016-0362. Epub 2016 Oct 17.
3
Spontaneous ventilation anaesthesia: the perfect match for thoracoscopic bullectomy?自主通气麻醉：胸腔镜下肺大疱切除术的完美搭配？
Eur J Cardiothorac Surg. 2016 Nov;50(5):933. doi: 10.1093/ejcts/ezw222. Epub 2016 Jun 23.
4
Non-intubated video-assisted thoracic surgery: the final frontier?非插管电视辅助胸腔镜手术：最后的前沿领域？
Eur J Cardiothorac Surg. 2016 Nov;50(5):925-926. doi: 10.1093/ejcts/ezw183. Epub 2016 May 30.
5
The impact of non-intubated versus intubated anaesthesia on early outcomes of video-assisted thoracoscopic anatomical resection in non-small-cell lung cancer: a propensity score matching analysis.非气管插管麻醉与气管插管麻醉对非小细胞肺癌电视辅助胸腔镜解剖性切除早期结局的影响：一项倾向评分匹配分析
Eur J Cardiothorac Surg. 2016 Nov;50(5):920-925. doi: 10.1093/ejcts/ezw160. Epub 2016 May 10.
6
Advances in Uniportal Video-Assisted Thoracoscopic Surgery: Pushing the Envelope.单孔电视辅助胸腔镜手术的进展：突破极限
Thorac Surg Clin. 2016 May;26(2):187-201. doi: 10.1016/j.thorsurg.2015.12.007. Epub 2016 Feb 10.
7
From "awake" to "monitored anesthesia care" thoracic surgery: A 15 year evolution.从“清醒”到“监测麻醉护理”的胸外科手术：15 年的演变。
Thorac Cancer. 2014 Jan;5(1):1-13. doi: 10.1111/1759-7714.12070. Epub 2014 Jan 2.
8
Nonintubated anesthesia in thoracic surgery: general issues.非气管插管麻醉在胸外科手术中的应用：一般问题。
Ann Transl Med. 2015 May;3(8):110. doi: 10.3978/j.issn.2305-5839.2015.04.21.
9
Non-intubated video-assisted thoracoscopic lung resections: the future of thoracic surgery?非插管电视辅助胸腔镜肺切除术：胸外科手术的未来？
Eur J Cardiothorac Surg. 2016 Mar;49(3):721-31. doi: 10.1093/ejcts/ezv136. Epub 2015 Apr 19.
10
A Comparison of the Efficacy and Adverse Effects of Double-Lumen Endobronchial Tubes and Bronchial Blockers in Thoracic Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials.双腔支气管导管与支气管封堵器在胸外科手术中的疗效及不良反应比较：随机对照试验的系统评价与Meta分析
J Cardiothorac Vasc Anesth. 2015 Aug;29(4):955-66. doi: 10.1053/j.jvca.2014.11.017. Epub 2014 Dec 2.
Zotero 插件