Clinical differences between artificial pneumothorax and double lumen intubation in thoracoscopic esophagectomy
10.11659/jjssx.08E015106
- VernacularTitle:胸腔镜食管癌根治术中人工气胸与双腔插管临床应用对比分析
- Author:
Zhe YIN
;
Jun QI
- Publication Type:Journal Article
- Keywords:
thoracoscopic esophagectomy;
single-lumen endotracheal intubation and continuous carbon dioxide insufflation;
double-lumen endotracheal intubation
- From:Journal of Regional Anatomy and Operative Surgery
2016;(2):125-127
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the advantages and disadvantages of the double lumen endotracheal intubation and single -lumen endo-tracheal intubation and continuous carbon dioxide insufflation in thoracoscopic esophagectomy .Methods The clinical data of 90 patients in our department of thoracic surgery after thoracoscopic esophagectomy from January 2014 to April 2015 were analyzed .All patients were divid-ed into single-lumen endotracheal intubation (group A)and double lumen endotracheal intubation group (group B).The endotracheal intuba-tion time,operation time,incidence of pulmonary infection,intraoperative and postoperative PaO2,PaCO2,incidence of anastomotic fistula, hospitalization expenses ,length of hospital stay and the incidence of postoperative chylothorax between two groups were compared .Results The difference in intraoperative PaO2,PaCO2,incidence of pulmonary infection,endotracheal intubation time,operation time,hospitalization days and the hospitalization cost between two groups were statistical significance .The difference of the rest index between two groups were no statistical significance.Conclusion Group A has certain advantages in perioperative management ,hospitalization cost and so on,but has disadvantages in perioperative hypoxemia and carbon dioxide retention and acid -base balance disorders .
