title: Use of single-lumen tube for minimally invasive and hybrid esophagectomies with prone thoracoscopic dissection: case series.
abstract: Minimally invasive and hybrid minimally invasive esophagectomy (MIE) is a technically challenging procedure. Anesthesia for the same is equally challenging due to special requirements of the video-assisted thoracoscopic technique used and shared operative and respiratory fields. Standard ventilatory strategy for this kind of surgery has been 1-lung ventilation with the help of a double-lumen tube. Prone positioning for thoracoscopic dissection facilitates gravity-dependant collapse of the operative side lung induced by a unilateral capnothorax, thus making the use of single-lumen endotracheal tube a feasible option for this surgery. We report our experience of 10 consecutive cases of minimally invasive esophagectomy conducted in prone position at our center and the use of single-lumen endotracheal tube for ventilation.
authors.affiliation: Department of Anaesthesia and Intensive Care, G.B. Pant Hospital, New Delhi, India. Electronic address: dr.manilasingh@gmail.com.
authors.forename: Manila
authors.initials: M
authors.lastname: Singh
authors.affiliation: Department of Anaesthesia and Intensive Care, G.B. Pant Hospital, New Delhi, India. Electronic address: drrajeevuppal@gmail.com.
authors.forename: Rajeev
authors.initials: R
authors.lastname: Uppal
authors.affiliation: Department of Anaesthesia and Intensive Care, G.B. Pant Hospital, New Delhi, India. Electronic address: kapsdr@yahoo.com.
authors.forename: Kapil
authors.initials: K
authors.lastname: Chaudhary
authors.affiliation: Department of G.I. Surgery, G.B. Pant Hospital, New Delhi, India. Electronic address: javedamitdr@gmail.com.
authors.forename: Amit
authors.initials: A
authors.lastname: Javed
authors.affiliation: Department of G.I. Surgery, G.B. Pant Hospital, New Delhi, India. Electronic address: aka.gis@gmail.com.
authors.forename: Anil
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D000328:Adult; D000368:Aged; D019296:Capnography; D002245:Carbon Dioxide / Q000097:blood; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000379:methods*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D061810:One-Lung Ventilation / Q000379:methods; D016684:Prone Position; D012129:Respiratory Function Tests; D016683:Supine Position; D013906:Thoracoscopy / Q000379:methods*
chemical_list: D002245:Carbon Dioxide
keywords: Minimally invasive esophagectomy (MIE); Prone; Single-lumen endotracheal tube