单腔、双腔气管插管在胸腔镜联合腹腔镜下食管癌三野根治术中的应用  

A comparison of the double lumen tube with the single lumen tube in the application of minimally invasive esophagectomy

作　　者：柳硕岩[1] 黄书荣[1] 王枫[1] 许如贞[1] 王镇[1] 陈啸风[1] 郑庆丰[1] 

机构地区：[1]福建省肿瘤医院国家临床重点专科建设项目单位福建医科大学教学医院胸外科,福州350014

出　　处：《中华胸心血管外科杂志》2015年第5期264-266,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的 评价单腔气管插管与双腔支气管插管在胸腔镜联合腹腔镜下食管癌三野淋巴结清扫术（全腔镜食管癌三野根治术）中的应用及对术后肺部并发症的影响.方法 回顾性分析2010年1月至2013年11月165例行全腔镜食管癌三野根治术的患者临床资料.结果 单腔、双腔气管插管患者发生肺部并发症分别为11例（16.42％）、34例（34.69％） （P =0.010）,插管时间分别为（1.45±0.22）min、（6.53±0.59） min（P =0.000）,清扫淋巴结总数（42.76±18.11）枚/例、（34.32±15.80）枚/例（P=0.002）,清扫左喉返神经链淋巴结数（3.19±2.53）枚/例、（1.30±2.14）枚/例（P =0.000）.结论 在全腔镜食管癌三野根治术中,单腔气管插管较双腔支气管插管简单、易行,术后肺部并发症发生率低,同时更有利于上纵隔淋巴结清扫.Objective To compare the pulmonary complications between the double lumen tube and the single lumen tube,and to determine whether there are objective advantages of one over the other in one-lung ventilation during minimally invasive esophagectomy（MIE）.Methods From January 2012 to November 2013,165 patients with esophageal cancer received combined thoracoscopic and laparoscopic esophagectomy with anastomosis in the neck.All clinical data were retrospectively reviewed.Results Between the single lumen tube and the double lumen tube：patients with pulmonary infection is 11 （16.42％）,34（34.69％） （P =0.010）.The average intubation time is（1.45 ±0.22）min,（6.53 ±0.59） min,P =0.000.The number of harvested lymph nodes of total is （42.76 ± 18.11） and （34.32 ± 15.80）,P =0.002.The number of harvested lymph nodes of the cervix and the left laryngeal recurrent nerve chain was （3.19 ± 2.53） and （1.30 ± 2.14）,P =0.000.Conclusion In the minimally invasive esophagectomy,single lumen tube is simpler and easier than the double lumen tube,and with the low incidence of postoperative pulmonary complications,at the same time there are more advantageous in the meditational lymph nodes cleaning.

关 键 词：食管肿瘤 胸腔镜检查 单腔气管插管 双腔支气管插管 术后并发症 

分 类 号：R726.55[医药卫生—儿科]