Anaesthesia for thoracoscopic pulmonary lobectomy.
This report describes the anaesthetic management of a new surgical procedure--pulmonary lobectomy accomplished by minimal invasive surgery (MIS) techniques. Upper and middle pulmonary lobectomy were performed uneventfully during general anaesthesia in a 76-yr-old woman. No similar report has yet appeared in the literature. Important anaesthetic considerations include safety concerns, the need for differential lung ventilation, and the problems inherent in a lengthy operation. In the appropriate clinical setting, anaesthesia and surgery for major pulmonary resections accomplished by MIS techniques can be performed safely and effectively.
Lamb
J D
JD
Department of Anaesthesiology, Saskatoon City Hospital, Saskatchewan.
D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D016058:Analgesia, Patient-Controlled; D000771:Anesthesia, Intravenous / Q000379:methods; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D008175:Lung Neoplasms / Q000601:surgery; D016343:Monitoring, Intraoperative; D011013:Pneumonectomy / Q000379:methods*; D012121:Respiration, Artificial; D013906:Thoracoscopy; D013997:Time Factors