[Anesthesia management in robotic-assisted esophagectomy with triple incisions: analysis of 53 cases]

Between March, 2016 and January, 2017, 53 patients underwent robotic-assisted esophagectomy with triple incisions. All the patients were intubated with Double lumen endotracheal tub with one-lung ventilation and CO₂ pneumoperitoneum, and CO₂ pneumothorax was used in 7 cases. Most of the patients could tolerate OLV and CO₂ pneumoperitoneum, and 4 patients with CO₂ pneumothorax had hypoxemia and required double-lung ventilation or high frequency ventilation; 15 patients developed postoperative pulmonary complications and were transferred to ICU. These results suggest that CO₂ pneumothorax during robotic-assisted esophagectomy with triple incision seriously disturbs pulmonary function, and careful anesthesia management is essential for preventing complications.