Anaesthesia for three-stage thoracoscopic oesophagectomy: An initial experience
Publication in refereed journal


香港中文大学研究人员 ( 现职)

锺尚志教授 (外科学系)

Professor MAINLAND Phoebe-anne (麻醉及深切治疗学系)

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Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/5WOS source URL
Scopushttp://aims.cuhk.edu.hk/converis/portal/Publication/9Scopus source URL

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摘要We report our experience in the anaesthetic management of five patients undergoing three-stage thoracoscopic oesophagectomy. One patient required conversion to open thoracotomy because of extensive pleural adhesions. The other four patients, aged between 68 and 78, were all chronic smokers with mid-oesophageal squamous cell carcinoma. The duration of thoracoscopic surgery (and obligatory one-lung ventilation) ranged from 2.http://aims.cuhk.edu.hk/converis/portal/Publication/5 to 4 hours with total surgical time ranging from 7.http://aims.cuhk.edu.hk/converis/portal/Publication/5 to http://aims.cuhk.edu.hk/converis/portal/Publication/9.http://aims.cuhk.edu.hk/converis/portal/Publication/5 hours. Anaesthetic considerations included the use of one-lung ventilation to provide surgical access, the cardiorespiratory effects of capnothorax, difficulties in assessing surgical blood loss during thoracoscopic dissection, crowding in the operating room with limitation of access to the patient and the risk of intraoperative dislodgement of the endobronchial tube. Postoperative pulmonary complications were not decreased in our patients despite the avoidance of thoracotomy. The thoracoscopic technique might contribute to pulmonary complications because of prolonged thoracoscopic dissection and unintentional pulmonary injuries. The concept of minimally invasive surgery needs further evaluation when the technique is applied in extensive procedures such as oesophagectomy.

着者Chui P.T., Mainland P., Chung S.C.S., Chung D.C.
期刊名称Anaesthesia and Intensive Care
出版年份1http://aims.cuhk.edu.hk/converis/portal/Publication/9http://aims.cuhk.edu.hk/converis/portal/Publication/94
月份1
日期1
卷号22
期次http://aims.cuhk.edu.hk/converis/portal/Publication/5
出版社Australian Society of Anaesthetists
出版地Australia
页次http://aims.cuhk.edu.hk/converis/portal/Publication/5http://aims.cuhk.edu.hk/converis/portal/Publication/93 - http://aims.cuhk.edu.hk/converis/portal/Publication/5http://aims.cuhk.edu.hk/converis/portal/Publication/96
国际标準期刊号0310-0http://aims.cuhk.edu.hk/converis/portal/Publication/57X
语言英式英语

关键词Laparoscopic surgery, Oesophagectomy, One-lung ventilation, Surgery, Thoracic anaesthesia, Thoracoscopic surgery