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Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection

BACKGROUND: For uniportal video-assisted thoracoscopic surgery (VATS), which is greatly dependent on satisfactory lung collapse without lung compression from another port, few reports have elucidated the intraoperative efficacy of bronchial blockers (BBs). We hypothesized that operation time would b...

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Autores principales: Li, Ying-Tzu, Chiu, Hsin-Chan, Hsiao, Yueh-Chen, Hsu, Hsao-Hsun, Chen, Jin-Shing, Cheng, Ya-Jung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451124/
https://www.ncbi.nlm.nih.gov/pubmed/37470529
http://dx.doi.org/10.4103/aca.aca_132_22
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author Li, Ying-Tzu
Chiu, Hsin-Chan
Hsiao, Yueh-Chen
Hsu, Hsao-Hsun
Chen, Jin-Shing
Cheng, Ya-Jung
author_facet Li, Ying-Tzu
Chiu, Hsin-Chan
Hsiao, Yueh-Chen
Hsu, Hsao-Hsun
Chen, Jin-Shing
Cheng, Ya-Jung
author_sort Li, Ying-Tzu
collection PubMed
description BACKGROUND: For uniportal video-assisted thoracoscopic surgery (VATS), which is greatly dependent on satisfactory lung collapse without lung compression from another port, few reports have elucidated the intraoperative efficacy of bronchial blockers (BBs). We hypothesized that operation time would be prolonged if BBs required more intraoperative repositioning during surgical manipulation. We compared the operation times of different surgical procedures performed using BBs with double-lumen tubes (DLTs) in uniportal VATS. MATERIALS AND METHODS: Patients who underwent intubated uniportal VATS were enrolled retrospectively from March to May 2019. Data on the patient, anesthetic, and surgical factors were collected. Regression analyses were performed to determine the effect of various factors on operation time. RESULTS: 317 patients who underwent uniportal VATS were included. Wedge resection constituted 70.7%, and anatomic resection constituted 29.3% of procedures. BBs were applied for left- and right-side wedge resection (85.6% and 78.7%, respectively) and left- and right-side anatomic resection (74.1% and 56.4%, respectively). The surgical factors significantly affecting operation time were operation procedures (P < .01), number of lymph nodes sampled (P < .001), and size of tumors (P < .01). CONCLUSIONS: The efficacy of BBs was comparable to that of DLTs for uniportal VATS wedge resection. With significantly less preference for right-side anatomic resection, the efficacy of DLTs was comparable with that of BBs, which were applied in more than half of right-side uniportal anatomic VATS. We conclude that even in uniportal VATSs, rigid-angled BBs demonstrate comparable efficacy with feasible alternatives.
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spelling pubmed-104511242023-08-26 Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection Li, Ying-Tzu Chiu, Hsin-Chan Hsiao, Yueh-Chen Hsu, Hsao-Hsun Chen, Jin-Shing Cheng, Ya-Jung Ann Card Anaesth Original Article BACKGROUND: For uniportal video-assisted thoracoscopic surgery (VATS), which is greatly dependent on satisfactory lung collapse without lung compression from another port, few reports have elucidated the intraoperative efficacy of bronchial blockers (BBs). We hypothesized that operation time would be prolonged if BBs required more intraoperative repositioning during surgical manipulation. We compared the operation times of different surgical procedures performed using BBs with double-lumen tubes (DLTs) in uniportal VATS. MATERIALS AND METHODS: Patients who underwent intubated uniportal VATS were enrolled retrospectively from March to May 2019. Data on the patient, anesthetic, and surgical factors were collected. Regression analyses were performed to determine the effect of various factors on operation time. RESULTS: 317 patients who underwent uniportal VATS were included. Wedge resection constituted 70.7%, and anatomic resection constituted 29.3% of procedures. BBs were applied for left- and right-side wedge resection (85.6% and 78.7%, respectively) and left- and right-side anatomic resection (74.1% and 56.4%, respectively). The surgical factors significantly affecting operation time were operation procedures (P < .01), number of lymph nodes sampled (P < .001), and size of tumors (P < .01). CONCLUSIONS: The efficacy of BBs was comparable to that of DLTs for uniportal VATS wedge resection. With significantly less preference for right-side anatomic resection, the efficacy of DLTs was comparable with that of BBs, which were applied in more than half of right-side uniportal anatomic VATS. We conclude that even in uniportal VATSs, rigid-angled BBs demonstrate comparable efficacy with feasible alternatives. Wolters Kluwer - Medknow 2023 2023-07-07 /pmc/articles/PMC10451124/ /pubmed/37470529 http://dx.doi.org/10.4103/aca.aca_132_22 Text en Copyright: © 2023 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Li, Ying-Tzu
Chiu, Hsin-Chan
Hsiao, Yueh-Chen
Hsu, Hsao-Hsun
Chen, Jin-Shing
Cheng, Ya-Jung
Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection
title Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection
title_full Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection
title_fullStr Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection
title_full_unstemmed Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection
title_short Efficacy of Rigid-Angle Bronchial Blockers for Uniportal Video-Assisted Thoracoscopic Tumor Resection
title_sort efficacy of rigid-angle bronchial blockers for uniportal video-assisted thoracoscopic tumor resection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451124/
https://www.ncbi.nlm.nih.gov/pubmed/37470529
http://dx.doi.org/10.4103/aca.aca_132_22
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