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Updated: Jun 13, 2026

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Published on: January 23, 2026

Minimal access mediastinal surgery: One or two lung ventilation?

Karamollah Toolabi¹, Ali Aminian, Mihan J Javid

¹Department of Surgery, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Journal of Minimal Access Surgery

|April 22, 2010

Summary

Single lumen tubes (SLT) are safe for minimal access mediastinal surgery (MAMS), offering comparable surgical exposure to double lumen tubes (DLT). This approach reduces costs and complications associated with DLTs.

Keywords:

Double lumen tube hyperhidrosis myasthenia gravis single lumen tube thoracoscopy video-assisted thoracoscopic surgery

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Published on: January 23, 2026

Area of Science:

Thoracic Surgery
Anesthesiology
Minimally Invasive Procedures

Background:

Minimal access mediastinal surgery (MAMS) typically uses general anesthesia with double lumen tubes (DLT).
Evaluating alternative ventilation strategies is crucial for improving patient outcomes and procedural efficiency.

Purpose of the Study:

To assess the safety and efficacy of two-lung ventilation via single lumen tubes (SLT) during thoracoscopic procedures.
To compare SLT ventilation with traditional DLT use in patients undergoing thoracoscopic sympathectomy and thymectomy.

Main Methods:

A prospective, non-randomized study involving 100 patients (58 hyperhidrosis, 42 myasthenia gravis) from 2002-2008.
Patients were intubated with either DLT (n=50) or SLT (n=50), with CO2 insufflation and two-lung anesthesia used for SLT.
Evaluated parameters included hemodynamic stability, oxygen saturation (Spo2), end-tidal Pco2 (ETPco2), intubation/surgery times, surgeon satisfaction, and complications.

Main Results:

The SLT group demonstrated stable hemodynamic and ventilation parameters throughout the procedures.
The DLT group experienced instances of hemodynamic instability, decreased Spo2, and elevated ETPco2.
One patient in the DLT group developed vocal cord granuloma post-surgery; surgical exposure and time were similar between groups.

Conclusions:

Single lumen tubes (SLT) are a safe and effective alternative for MAMS when lung collapse is not essential.
SLT provides adequate surgical exposure while potentially decreasing costs, operative time, and DLT-related complications.
This ventilation strategy is suitable for thoracoscopic sympathectomy and thymectomy.