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Thoracoscopic lobectomy in a patient with permanent tracheostomy
Seyedamir Mousavian1, Abloghasem Daneshvar Kakhki2, Tahereh Parsa3
1Tracheal Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tanaffos
|February 26, 2015
Summary
One Lung Ventilation (OLV) is crucial for thoracic surgery. A novel technique enabled successful OLV in a patient with a permanent tracheostomy, overcoming anatomical challenges for thoracoscopic lobectomy.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Pulmonology
Background:
- One Lung Ventilation (OLV) is standard for thoracic operations, typically using double lumen endotracheal tubes.
- Patients with permanent tracheostomies present challenges for OLV due to short tracheas and tube security issues.
Observation:
- A patient with a permanent tracheostomy required thoracoscopic lobectomy.
- Standard methods for securing double lumen endotracheal tubes for OLV were deemed difficult in this patient.
Findings:
- A successful method for achieving One Lung Ventilation was employed in a patient with a permanent tracheostomy.
- The patient underwent a thoracoscopic lobectomy with OLV, demonstrating the feasibility of the technique.
Implications:
- This case suggests that OLV is achievable in patients with permanent tracheostomies, expanding surgical options.
- Further research may explore adaptations of OLV techniques for patients with complex airway anatomy.
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