Comparison of ventilation and cardiovascular parameters between prone thoracoscopic and Ivor Lewis esophagectomy

Luigi Bonavina, Letizia Laface, Emmanuele Abate, Michele Punturieri, Emiliano Agosteo, Marco Nencioni

Research output: Contribution to journalArticlepeer-review

Abstract

Thoracoscopic esophagectomy in the prone position is associated with better surgical ergonomics compared to the left lateral decubitus position due to the effects of gravity pooling blood outside the operative field and the reduced need for lung retraction. The aim of this study was to evaluate the physiological effects of prone thoracoscopic esophagectomy with single-lumen intubation on ventilation, respiratory gas exchange, and cardiovascular parameters. Thirty-two consecutive patients underwent esophagectomy either through a prone thoracoscopic approach or through a right thoracotomic approach. Samples of arterial and central venous blood, as well as ventilation and cardiovascular parameters were obtained at baseline, during induction of anesthesia, throughout the operation, and after extubation. Patients undergoing prone thoracoscopic esophagectomy showed higher oxygenation levels (p

Original languageEnglish
Pages (from-to)81-85
Number of pages5
JournalUpdates in Surgery
Volume64
Issue number2
DOIs
Publication statusPublished - 2012

Keywords

  • Esophagectomy
  • Prone positioning
  • Pulmonary shunt
  • Single-lumen intubation
  • Thoracoscopy
  • Two-lung ventilation

ASJC Scopus subject areas

  • Surgery

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