title: The application of single-lumen endotracheal tube anaesthesia with artificial pneumothorax in thoracolaparoscopic oesophagectomy.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Ruixiang
authors.initials: R
authors.lastname: Zhang
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Shilei
authors.initials: S
authors.lastname: Liu
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Haibo
authors.initials: H
authors.lastname: Sun
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Xianben
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Zongfei
authors.initials: Z
authors.lastname: Wang
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Jianjun
authors.initials: J
authors.lastname: Qin
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China.
authors.forename: Xionghuai
authors.initials: X
authors.lastname: Hua
authors.affiliation: Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, China liyin825@aliyun.com.
authors.forename: Yin
authors.initials: Y
authors.lastname: Li
mesh_terms: D000368:Aged; D000768:Anesthesia, General / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D015505:Chest Tubes; D004867:Equipment Design; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007327:Insufflation; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D061810:One-Lung Ventilation; D011031:Pneumothorax, Artificial / Q000009:adverse effects; D012189:Retrospective Studies; D013906:Thoracoscopy; D016896:Treatment Outcome
keywords: Artificial pneumothorax; Double-lumen endotracheal tube; Minimally invasive oesophagectomy; Single-lumen endotracheal tube; Thoracolaporoscopic oesophagectomy