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Abstract
Laparo - thoracoscopic esophagectomy which is widely used in gastrointestinal surgery has become a common procedure. This type of surgery had been performed in Hue Central Hospital since 2007 and shows many advantages such as avoiding
large thoracotomy not creating the risk of serious respiratory complications in postoperative period, being applicable to high - risk patients; re - establishing digestive esophagus - stomach circulation in the neck region to avoid the risk of mediastinitis due to anastomotic leaks - one of the main cause of death after surgery... However, anesthetic technique for this type of surgery is difficult, requiring the anesthesiologist to have expertise, experience and adequate monitoring equipment. We present two cases of intraoperative bronchopleural fistula because of bronchial tear during aparothoracoscopic esophagectomy procedure, which was first identified by the anesthesia team. We discuss differential iagnoses including the role of end-tidal carbon dioxide monitoring EtCO2 as an aid to prompt diagnosis
References
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| Published | 29-12-2024 | |
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| Issue | No. 87 (2023) | |
| Section | Case report | |
| DOI | 10.38103/jcmhch.87.9 | |
| Keywords | Rách phế quản, cắt thực quản nội soi ngực bụng, phân áp CO2 cuối thì thở ra, thán đồ Bronchial tear, laparo - thoracoscopic esophagectomy, end - tidal carbon dioxide, capnography |
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