单腔、双腔气管插管在微创食管癌根治术中近期效果 postprint

Abstract: Objective To compare the short-term outcomes between single lumen endotracheal tube anesthesia (SLET) anddouble lumen endotracheal tube anesthesia (DLET) in minimally invasive esophagectomy. Methods Clinical data of 94patients who received minimally invasive Mckeown esophagectomy for esophageal cancer form January 2014 to December2015 were retrospectively analyzed. Results There was less operation bleeding (205.6 �62.1 m L vs 277.9 �219.9 m L, P=0.028),more left laryngeal recurrent nerve chain lymph nodes (3.4�.5 vs 1.2�.5, P=0.043) and mediastinal lymph nodes (19.1�4.2 vs13.7 �9.2, P=0.037) harvested in SLET group compared to DLET group. There was no significant difference in operativeduration, number of total dissected lymph nodes and right laryngeal recurrent nerve chain lymph nodes, mean duration ofhospitalization, mean duration of ICU stay and operative complications. Conclusion The short-term outcomes are better inSLET than in DLET group because of its lower cost, easy to use and good exposure of operation field. It facilitates mediastinallymphadenctomy and reducing bleeding.