A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma

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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Luo Zhao, Xue Zhang, Chao Gao, Jia He, Zhijun Han, Li Li
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Oesophageal leiomyoma Enucleation Video-assisted thoracoscopy Artificial pneumothorax Bronchial blocker Surgery RD1-811 Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/091e785d258d4cb3b55ca6a068842f18
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:091e785d258d4cb3b55ca6a068842f18
record_format	dspace
spelling	oai:doaj.org-article:091e785d258d4cb3b55ca6a068842f182021-11-08T11:05:23ZA comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma10.1186/s13019-021-01707-41749-8090https://doaj.org/article/091e785d258d4cb3b55ca6a068842f182021-10-01T00:00:00Zhttps://doi.org/10.1186/s13019-021-01707-4https://doaj.org/toc/1749-8090Abstract 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 < 0.05). Patients in the SLT-B group had a significantly larger average tumour size than patients in the DLT group (5.4 ± 2.1 cm vs 3.5 ± 1.4 cm, P < 0.05). The SLT-B group had a significantly shorter operation time and shorter total hospital stay than the DLT group. No mucosal injury, conversion to thoracotomy, or other operative complications occurred in the SLT-B group. In the follow-up, no recurrence, dysphagia, or regurgitation was found in any of the patients. 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.Luo ZhaoXue ZhangChao GaoJia HeZhijun HanLi LiBMCarticleOesophageal leiomyomaEnucleationVideo-assisted thoracoscopyArtificial pneumothoraxBronchial blockerSurgeryRD1-811AnesthesiologyRD78.3-87.3ENJournal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-5 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Oesophageal leiomyoma Enucleation Video-assisted thoracoscopy Artificial pneumothorax Bronchial blocker Surgery RD1-811 Anesthesiology RD78.3-87.3
spellingShingle	Oesophageal leiomyoma Enucleation Video-assisted thoracoscopy Artificial pneumothorax Bronchial blocker Surgery RD1-811 Anesthesiology RD78.3-87.3 Luo Zhao Xue Zhang Chao Gao Jia He Zhijun Han Li Li A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
description	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 < 0.05). Patients in the SLT-B group had a significantly larger average tumour size than patients in the DLT group (5.4 ± 2.1 cm vs 3.5 ± 1.4 cm, P < 0.05). The SLT-B group had a significantly shorter operation time and shorter total hospital stay than the DLT group. No mucosal injury, conversion to thoracotomy, or other operative complications occurred in the SLT-B group. In the follow-up, no recurrence, dysphagia, or regurgitation was found in any of the patients. 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.
format	article
author	Luo Zhao Xue Zhang Chao Gao Jia He Zhijun Han Li Li
author_facet	Luo Zhao Xue Zhang Chao Gao Jia He Zhijun Han Li Li
author_sort	Luo Zhao
title	A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
title_short	A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
title_full	A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
title_fullStr	A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
title_full_unstemmed	A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
title_sort	comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma
publisher	BMC
publishDate	2021
url	https://doaj.org/article/091e785d258d4cb3b55ca6a068842f18
work_keys_str_mv	AT luozhao acomparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT xuezhang acomparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT chaogao acomparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT jiahe acomparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT zhijunhan acomparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT lili acomparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT luozhao comparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT xuezhang comparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT chaogao comparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT jiahe comparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT zhijunhan comparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma AT lili comparisonofbronchialblockerunderartificialpneumothoraxanddoublelumenendobronchialtubeforlungisolationinthoracoscopicenucleationofoesophagealleiomyoma
_version_	1718442303392055296

A comparison of bronchial blocker under artificial pneumothorax and double-lumen endobronchial tube for lung isolation in thoracoscopic enucleation of oesophageal leiomyoma

Ejemplares similares