Comparison of Anesthetic Management of Complete Thoracoscopic Esophagectomy in the Prone Position and Video-assisted Thoracoscopic Esophagectomy with Mini-thoracotomy in the Left Lateral Position
腹臥位完全胸腔鏡および左側臥位胸腔鏡補助下小開胸による食道癌手術の麻酔管理の比較

Jun USAMI, Koki HIROTA, Hideyo HORIKAWA, Yoshinori TAKEMURA, Masana YAMADA, Mitsuaki YAMAZAKI
2016 THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA  
We retrospectively compared the peri-operative respiratory functions of the complete thoracoscopic esophagectomy in the prone position (group P, n=15) and video-assisted thoracoscopic esophagectomy with mini-thoracotomy in the left lateral position (group L, n=10) . Intra-operative arterial blood gas analysis indicated no significant difference in PaO 2 /FIO 2 during one lung ventilation between the two groups (220.2 ± 82.8 vs 192.7 ± 111 Torr, p=0.513) . The duration from the end of surgery to
more » ... extubation in group P was significantly shorter than that in group L (P<0.01) . In conclusion, thoracoscopic esophagectomy in the prone position contributed to maintenance of pulmonary oxygenation, and reduced the duration of mechanical ventilation in the post-operative period.
doi:10.2199/jjsca.36.399 fatcat:22mvnatvpvefzggoiagu7ql7qm