1. A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
- Author
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Chao Gao, Zhijun Han, Li Li, Xue Zhang, Luo Zhao, and Jia He
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Esophageal Neoplasms ,RD1-811 ,Bronchial blocker ,medicine.medical_treatment ,Enucleation ,Oesophageal leiomyoma ,Video-assisted thoracoscopy ,Asymptomatic ,Anesthesiology ,Intubation, Intratracheal ,Pneumothorax, Artificial ,medicine ,Humans ,Intubation ,RD78.3-87.3 ,Lung ,Retrospective Studies ,Leiomyoma ,business.industry ,Thoracoscopy ,Artificial pneumothorax ,General Medicine ,Double-lumen endobronchial tube ,Surgery ,Cardiac surgery ,medicine.anatomical_structure ,Cardiothoracic surgery ,Neoplasm Recurrence, Local ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Research Article - Abstract
Background Oesophageal leiomyomas are one of the most common benign oesophageal tumours. This retrospective, observational study summarized and compared the clinical outcomes of thoracoscopic enucleation of oesophageal leiomyoma between single-lumen endotracheal intubation with a bronchial blocker and double-lumen endotracheal intubation. Methods A total of 36 patients who underwent thoracoscopic enucleation of oesophageal leiomyoma at Peking Union Medical College Hospital between 2014 and 2020 were retrospectively analysed. Fifteen patients received single-lumen endotracheal intubation combined with a right bronchial blocker (SLT-B group), and twenty-one patients received double-lumen endotracheal intubation (DLT group). Clinical data, surgical variables, and postoperative complications were analysed and compared. Results The average tumour size in all patients was 4.3 ± 2.0 cm. The average tumour size among symptomatic patients was significantly larger than that among asymptomatic patients (5.1 ± 2.0 cm vs 3.7 ± 1.7 cm, P Conclusions Compared with traditional double-lumen intubation, artificial pneumothorax-assisted single-lumen endotracheal intubation combined with a bronchial blocker for thoracoscopic oesophageal leiomyoma enucleation can achieve complete removal of larger tumours, with fewer complications and shorter hospital stays.
- Published
- 2021