초록접수 현황
| 16F-098 | 포럼 발표 |
Non-intubated Video-assisted Thoracoscopic Surgery(VATS) Lobectomy for Early Stage Lung Cancer : Initial Experience of 2 Cases
Youngkyu Moon¹, Joon Pyo Jeon², Wonjung Hwang², Yunho Kim¹, Sook Whan Sung¹
¹Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea, ²Department of Anesthesiology, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
Background : Traditionally, intubated general anethesia with one-lung ventilation was considered necessary for thoracoscopic major pulmonary resection. Recently, the non-intubated thoracoscopic approach has been adapted even for use with major lung resection in some clinics. The non-intubated procedures try to minimize the adverse effects of tracheal intubation and general anaesthesia, such as intubation-related airway trauma, ventilation-induced lung injury, residual neuromuscular blockade, and postoperative nausea and vomiting. We experienced 2 cases of non-intubated video-assisted thoracoscopic lobectomy for the treatment of early stage lung cancer.
Methods : Under the intravenous sedation with self respiration, patients were placed in lateral decubitus position. Regional anesthesia including intercostals nerve block and vagus nerve block were performed. The operative procedures were same with conventional video-assisted thoracoscopic lobectomy under the general anesthesia with one lung ventilation.
Results : We conducted right middle lobe lobectomy and left upper lobectomy with mediastinal lymph node dissection successfully. Mean operation time was 97.5 minutes. Vital signs were stable during operations. The status of lung collapse of both patients was satisfactory. Although the diaphragmatic movement of one patient was significant, there was no problem to perform the operation. Postoperative course of both patients were good.
Conclusion : Non-intubated VATS lobectomy was a feasible option for curative resection of early stage lung cancer.
Methods : Under the intravenous sedation with self respiration, patients were placed in lateral decubitus position. Regional anesthesia including intercostals nerve block and vagus nerve block were performed. The operative procedures were same with conventional video-assisted thoracoscopic lobectomy under the general anesthesia with one lung ventilation.
Results : We conducted right middle lobe lobectomy and left upper lobectomy with mediastinal lymph node dissection successfully. Mean operation time was 97.5 minutes. Vital signs were stable during operations. The status of lung collapse of both patients was satisfactory. Although the diaphragmatic movement of one patient was significant, there was no problem to perform the operation. Postoperative course of both patients were good.
Conclusion : Non-intubated VATS lobectomy was a feasible option for curative resection of early stage lung cancer.
책임저자: Sook Whan Sung
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
발표자: Youngkyu Moon, E-mail : mykae@catholic.ac.kr