|
|
|
| Application of Bronchial Plug in Da Vinci Robot Thymoma Resection |
| YU Zhiyang, LIU Yang, HUI Kangli, et al |
| PLA Eastern Theater General Hospital, Jiangsu Nanjing 210002, China |
|
|
|
|
Abstract Objective: To observe the clinical effect of bronchial occluder in Thymectomy with the robot system of Leonardo da Vinci (rats). Methods: 48 patients who underwent thymectomy in our hospital from January 2018 to April 2019 were selected and included in this study. According to the different intubation methods, they were divided into two groups: double lumen endotracheal tube group (DLT group, n = 24) and bronchial occluder group (BBS group, n = 24). The anesthesia and operation methods of the two groups were basically the same, and the hands of the two groups were recorded The peak airway pressure (ppeak), PO2 and PCO2 were recorded at four time points before one lung ventilation (T1), 10 minutes after one lung ventilation (T2), 60 minutes after one lung ventilation (T3), and 10 minutes after two lung ventilation (T4), respectively. The voice hoarseness and throat pain and the incidence of complications were recorded. Results: There was no significant difference in the success rate of intubation and satisfaction rate of pulmonary collapse between the two groups (P>0.05). The intubation time and pulmonary collapse time of BBS group were longer than those of DLT group (P<0.05), and the rate of lateral displacement tube was higher than that of DLT group (P<0.05). The peak value of BBS group at T2 and T3 was lower than that of DLT group (P<0.05), but the pO2 and PCO2 of the two groups at T1, T2, T3 and T4 were poor The incidence of hoarseness and pharyngeal pain in BBS group was lower than that in DLT group (P<0.05). Conclusion: In Da Vinci's robotic thymectomy, the bronchial occluder has the advantages of low airway resistance and low incidence of postoperative pharyngeal pain. The patient's comfort is higher, but the time of lung collapse is longer. Compared with the double lumen bronchial tube, the two groups have similar effects and advantages.
|
|
|
|
|
|
[1] 魏光夏,唐建,喻本桐.达芬奇机器人系统辅助与传统胸腔镜胸腺瘤切除术短期疗效对比[J].临床外科杂志,2019,33(7):514~515.
[2] 李剑涛,黄佳,林皓,等.单中心连续333例机器人辅助胸腔镜肺叶切除术治疗I期非小细胞肺癌[J].中国胸心血管外科临床杂志,2017,24(11):825~829.
[3] 刘博,汪明敏,许世广,等.达芬奇机器人纵隔肿瘤切除术的学习曲线[J].中国胸心血管外科临床杂志,2017,24(1):127~131.
[4] 张谷青.前纵隔恶性肿瘤的CT诊断及鉴别诊断[J].济宁医学院学报,2018,24(3):223~226.
[5] 陈世雄,陈胜家,许家君,等.单操作孔电视胸腔镜手术治疗前纵隔肿瘤[J].中国胸心血管外科临床杂志,2016,23(1):634~635.
[6] 李萍.双腔支气管插管单肺通气麻醉在胸科手术中的应用探讨[J].临床医药文献电子杂志,2017,4(63):12359.
[7] 曹建平,赵阳.双腔支气管插管单肺通气麻醉在自发性气胸患者单孔胸腔镜肺大疱切除术中的应用[J].临床研究,2019,33(9):12~14.
[8] 汪亚宏,刘国,王忠慧.Coopdech封堵支气管导管与双腔支气管导管单肺通气的效果比较[J].世界临床医学,2017,11(1):265~267.
[9] 王坤,王莉萍,胡杰,等.PCV-VG模式对单肺通气患者术中PaCO2与PetCO2相关性影响的研究[J].河北医学,2019,34(1):169~173. |
|
|
|
2020, Vol. 26 
