Clinical application of thoracoscope mediastinal tumor resection with laryngeal mask anesthesia
10.3969/j.issn.1007-1989.2016.03.014
- VernacularTitle:喉罩全麻胸腔镜下纵隔肿瘤切除的临床应用
- Author:
Jiyun WANG
;
Wei ZOU
;
Ting LI
;
Wangang LI
;
Haoyin TIAN
- Keywords:
laryngeal mask;
endotracheal intubation;
anesthesia;
thoracic surgery;
mediastinal tumor
- From:
China Journal of Endoscopy
2016;22(3):63-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application of thoracoscope mediastinal tumor resection with the laryngeal mask anesthesia. Methods 40 cases of mediastinal tumors were randomly divided into two groups from 2012 to 2015, 20 cases in each group. Laryngeal mask group performed thoracoscope mediastinal tumor resection with laryngeal mask anesthesia and the Intubation group performed thoracoscope mediastinal tumor resection dou-ble-lume nendo tracheal intubation anesthesia, then compare the overall effect. Results All the patients were suc-cessfully completed with the thoracoscope surgery, no transfer to open chest cases. The preoperative anesthesia time of laryngeal mask group was shorter, blood pressure and pulse range of wave was smaller in the process of anesthesia and surgery, move restlessly was less, postoperative recovery time was shorter, and lower incidence of postoperative pharynx ministry unwell and sore throat, so the laryngeal mask group shows statistically significance comparing with the intubation group (P < 0.05); Operative time, operative field exposure satisfaction, intraoperative blood loss, post-operative extubation time and hospitalization days have no statistical significance (P >0.05). Conclusion The laryn-geal mask airway intravenous anesthesia in thoracoscope mediastinal tumor resection in practical good, in the preop-erative anesthesia and postoperative recovery time and postoperative sore throat was better than that of intubation group, so should be extended in clinical treatment.
