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- Manila Singh, Rajeev Uppal, Kapil Chaudhary, Amit Javed, and Anil Aggarwal.
- Department of Anaesthesia and Intensive Care, G.B. Pant Hospital, New Delhi, India. Electronic address: dr.manilasingh@gmail.com.
- J Clin Anesth. 2016 Sep 1; 33: 450-5.
AbstractMinimally 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. Copyright © 2016 Elsevier Inc. All rights reserved.
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