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Updated: Jun 23, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Which tube is better for esophagectomy?]
Hiroshi Yamase1, I Okuda, H Udagawa
1Department of Anesthesiology, Toranomon Hospital, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|May 12, 2009
Summary
The phi con double lumen tube (DLT) is recommended for thoracoscopic esophagectomy. It provides reliable differential lung ventilation and avoids surgical interruptions, unlike endobronchial blockers.
Area of Science:
- Thoracic Surgery
- Anesthesiology
- Surgical Technology
Context:
- Thoracoscopic esophagectomy requires precise differential lung ventilation.
- Two primary tools exist: double lumen tubes (DLT) and endobronchial blockers.
- Optimizing ventilation and surgical access is crucial for patient outcomes.
Purpose:
- To compare the efficacy and safety of endobronchial blockers versus DLTs in thoracoscopic esophagectomy.
- To identify the optimal device for differential lung ventilation during this procedure.
- To evaluate specific DLT models for improved surgical performance.
Summary:
- A retrospective review of 85 esophagectomy cases compared blocker and DLT use.
- Blocker cases experienced an average of 1.5 ventilation interruptions due to displacement.
- Double lumen tube cases maintained ventilation but sometimes complicated lymph node dissection, necessitating tube exchange.
Impact:
- The phi con DLT demonstrated superior pliability and ease of use compared to other DLTs.
- This DLT facilitates controlled differential lung ventilation without interfering with surgical procedures.
- The phi con DLT is identified as the preferred device for thoracoscopic esophagectomy.
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