不插管单孔剑突下胸腔镜右全肺切除术一例

Nonintubated uniportal subxiphoid video-assisted thoracoscopic right pneumonectomy

目的探讨不插管麻醉在单孔剑突下胸腔镜全肺叶切除术中的可行性和安全性。方法选取同济大学附属上海市肺科医院胸外科中央型非小细胞肺癌患者一例,术前完善检查,无手术禁忌,手术采用不插管麻醉在单孔剑突下胸腔镜右全肺切除术。结果患者术中和术后无意外及其他严重不良事件发生。结论不插管麻醉在单孔剑突下入路胸腔镜全肺手术中具有可行性和一定优势,更多支持证据尚需大规模临床对照研究。

Objective To investigate the feasibility and safety of unintubated anesthesia in uniportal subxiphoid video-assisted thoracoscopic(VAT)right pneumonectomy.Methods A patient with central non-small cell lung cancer in the Department of Thoracic Surgery,Shanghai Pulmonary Hospital affiliated to Tongji University was selected.The preoperative examination was complete and there was no contraindication to the operation.The operation was performed with uniportal subxiphoid VAT right pneumonectomy without intubation anesthesia.Results There were no accidents or other serious adverse events during and after the operation.Conclusions Non-intubation anesthesia is feasible and certain advantages in uniportal subxiphoid VAT pneumonectomy.More supporting evidence still needs large-scale clinical controlled studies.