Thoracoscopic tracheal reconstruction without surgical field intubation

Area of Science:

• Thoracic Surgery
• Surgical Innovation
• Anesthesiology

Background:

• Conventional cross-filed endotracheal intubation is standard for single lung ventilation during tracheal surgery.
• Challenges exist in maintaining ventilation during complex thoracoscopic procedures.

Purpose of the Study:

• To describe a case of thoracoscopic tracheal resection and reconstruction using transoral endotracheal intubation.
• To evaluate an alternative ventilation strategy for thoracic tracheal adenocarcinoma treatment.

Main Methods:

• A patient with thoracic tracheal adenocarcinoma underwent thoracoscopic resection and reconstruction.
• Interrupted ventilation was achieved using transoral endotracheal intubation.
• Tracheal anastomosis was performed with a running 3-0 Prolene suture.

Main Results:

• Successful thoracoscopic tracheal resection and reconstruction were completed.
• Transoral endotracheal intubation facilitated interrupted ventilation throughout the procedure.
• The running suture technique ensured effective tracheal anastomosis.

Conclusions:

• Transoral endotracheal intubation is a viable alternative for ventilation in thoracoscopic tracheal surgery.
• This technique may offer advantages in specific patient populations and surgical scenarios.
• Further research is warranted to explore the broader applicability of this approach.