초록접수 현황
| 17F-070 | 구연 미채택시 포럼 발표 |
Non-intubated VATS Wedge Resection for Pneumothorax
Jae Hoon Lee, Eui Suk Chung, Sung Joon Park
Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea
Purpose : For thoracic surgery, intubation under general anesthesia is conventionally used. However, intubation is invasive and may be technically difficult with unusual anatomy. We aimed to evaluate difference of non-intubated anesthesia using Monitored anesthesia care (MAC), with intubated anesthesia using double lumen, single lumen endotracheal tube, and laryngeal mask airway (LMA), in VATS wedge resection for pneumothorax.
Methods : 138 patients who underwent VATS wedge resection for pneumothorax from September 2015 to July 2017 were retrospectively evaluated; 3 of them with traumatic pneumothorax were excluded. There were 34 cases (25%) of double lumen endotracheal tube insertion; 43 (43%) of single lumen; 28 (21%) of LMA; and 30 (22%) of MAC.
Results : The induction time was significantly shorter for MAC group (p < 0.05), compared to the other 3 intubated-anesthesia groups (21.4±7.1, 16.4±4.9, 16±5.8, and 5.6±3.2 min for double, single lumen, LMA, and MAC, respectively). The operation time (50.2±18.9, 51.4±22.6, 49.4±11.3, and 32.6±7.7 min), and the awakening time (15.5±4.7 min, 13.6±4.9 min, 14.2±5.6 min, and 6.9±2.4 min) were also significantly shorter for the MAC group (p < 0.05). There was no significant difference (p > 0.05) in the duration of chest tube drainage (2.2±1.6, 2.1±1.1, 2.1±1.0, and 1.6±1.0 days) and hospital stay after operation (3.2±1.7, 3.2±1.3, 3.1±1.0, and 2.7±1.0 days).
Conclusion : MAC, compared to intubated anesthesia, shortened induction, operation, and awakening time in VATS wedge resection for pneumothorax; there was no significant difference in terms of the duration of chest tube drainage, and hospital stay after operation.
Methods : 138 patients who underwent VATS wedge resection for pneumothorax from September 2015 to July 2017 were retrospectively evaluated; 3 of them with traumatic pneumothorax were excluded. There were 34 cases (25%) of double lumen endotracheal tube insertion; 43 (43%) of single lumen; 28 (21%) of LMA; and 30 (22%) of MAC.
Results : The induction time was significantly shorter for MAC group (p < 0.05), compared to the other 3 intubated-anesthesia groups (21.4±7.1, 16.4±4.9, 16±5.8, and 5.6±3.2 min for double, single lumen, LMA, and MAC, respectively). The operation time (50.2±18.9, 51.4±22.6, 49.4±11.3, and 32.6±7.7 min), and the awakening time (15.5±4.7 min, 13.6±4.9 min, 14.2±5.6 min, and 6.9±2.4 min) were also significantly shorter for the MAC group (p < 0.05). There was no significant difference (p > 0.05) in the duration of chest tube drainage (2.2±1.6, 2.1±1.1, 2.1±1.0, and 1.6±1.0 days) and hospital stay after operation (3.2±1.7, 3.2±1.3, 3.1±1.0, and 2.7±1.0 days).
Conclusion : MAC, compared to intubated anesthesia, shortened induction, operation, and awakening time in VATS wedge resection for pneumothorax; there was no significant difference in terms of the duration of chest tube drainage, and hospital stay after operation.
책임저자: Sung Joon Park
Department of Thoracic and Cardiovascular Surgery, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea
발표자: Sung Joon Park, E-mail : psj324@hanmail.net