Autor: |
Natsuho Haraguchi, Yoshifumi Naito, Masayuki Shibasaki, Teiji Sawa |
Jazyk: |
angličtina |
Rok vydání: |
2024 |
Předmět: |
|
Zdroj: |
JA Clinical Reports, Vol 10, Iss 1, Pp 1-4 (2024) |
Druh dokumentu: |
article |
ISSN: |
2363-9024 |
DOI: |
10.1186/s40981-024-00695-3 |
Popis: |
Abstract Background Mediastinoscopic surgery for esophageal cancer facilitates early postoperative recovery. However, it can occasionally cause serious complications. Here, we present the case of a patient with a tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide (EtCO2) during mediastinoscopic subtotal esophagectomy. Case presentation A 52-year-old man diagnosed with esophageal cancer was scheduled to undergo mediastinoscopic subtotal esophagectomy. During the mediastinoscopic procedure, the EtCO2 level suddenly increased above 200 mmHg, and the blood pressure dropped below 80 mmHg. We immediately asked the operator to stop insufflation and found a tracheal injury on the right side of the trachea near the carina by bronchoscopy. The endotracheal tube was replaced with a double-lumen tube, and the trachea was repaired via right thoracotomy. There were no further intraoperative complications. After surgery, the patient was extubated and admitted to the intensive care unit. Conclusions Monitoring EtCO2 levels and close communication with the operator is important for safely managing sudden tracheal injury during mediastinoscopic esophagectomy. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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