Resection of Esophageal Cancer by One-Lung Anesthesia
In performing curative resection of esophageal carcinoma, expansion of the lung can become a hindrance in maneuvering deep in the thoracic cavity and in performing detailed dissection of lymph nodes. Of a total of 59 cases curatively resected the procedure was performed in 16 cases with monolateral intubation for general anesthesia and ventilation. Monolateral ventilation for general anesthesia was first performed in 1932 by Gale and Waters , and since then many investigators have added to the methodology [2, 3]. We have developed a tracheal tube to which is attached a movable blocker and an endobronchial twin lumen tube (for the left bronchus, Portex Inc.) for performing surgical treatment of carcinoma of the thoracic esophagus, in order to obtain a good operative field. We also take a very positive approach toward employing respirators in the postoperative phase, in an attempt to minimize the occurrence of postoperative pulmonary complications.
KeywordsCatheter Respiration Noma Mepivacaine Vasocon
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