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A comparison between two lung ventilation with CO2 artificial pneumothorax and one lung ventilation during thoracic phase of minimally invasive esophagectomy

Journal of Thoracic Disease Apr 07, 2018

Lin M, et al. - Researchers assessed the feasibility and safety of two lung ventilation with artificial pneumothorax in minimally invasive esophagectomy (MIE) via a comparison with conventional one lung ventilation. Among patients with esophageal cancer, who underwent McKeown MIE, clinical characteristics, surgical variables and complications were compared between those who underwent one lung ventilation with double lumen endotracheal tube (DLET) vs those who underwent two lung ventilation with single lumen endotracheal tube (SLET). It was noted that the application of artificial pneumothorax resulted in higher PO2, PCO2, and PetCO2 value, and slightly lower pH value and blood pressure during thoracic phase in patients in SLET group. Overall, two lung ventilation with artificial pneumothorax was shown to be a safe and feasible choice during MIE.
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