Modified double lumen tube for a unique bronchial and carinal resection in a patient undergoing uniportal VATS for tumour: A case report
| Autor: | Lei Jiang, Yang Gu, Lihua Dai, Jacopo Vannucci, Xin Lv, Jiong Song |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Carinal resection
Case report Double-lumen endotracheal tube Uniportal video-assisted thoracic surgery (VATS) Cancer Research medicine.medical_specialty business.industry uniportal video-assisted thoracic surgery (VATS) double-lumen endotracheal tube respiratory system Surgery Oncology medicine Radiology Nuclear Medicine and imaging carinal resection business Double lumen tube |
| Zdroj: | Translational Cancer Research |
| ISSN: | 2219-6803 2218-676X |
| Popis: | For bronchial sleeve and carinal resection and reconstruction during uniportal video-assisted thoracic surgery (VATS), ventilation technique remains a demanding challenge for the anesthesiologists. The ventilation techniques require maintaining adequate gas exchange while providing a good surgical exposure. The case we present was a 58-year-old female with carcinoma in the right upper lobe involving the right main bronchus and the lower trachea. Right upper sleeve lobectomy, carinal resection and reconstruction was performed under uniportal VATS. A modified double-lumen tube (DLT) was inserted to achieve one-lung ventilation, and high-frequency jet ventilation (HFJV) was passed through the DLT to provide oxygenation during the anastomosis without interfering with the surgical procedure. The whole procedure was uneventful. We suggest that the double lumen tube could be modified being a simple and safe option for one-lung ventilation in carinal resection and reconstruction under uniportal VATS. |
| Databáze: | OpenAIRE |
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