Application of double lumen bronchus intubation in laparoscopic giant esophageal hiatal hernia repair

doi:10.3877/cma.j.issn.1674-6899.2015.01.005

Abstract

Abstract:

Objective

To investigate the efficacy and safety of general anesthesia with double lumen bronchial intubation in laparoscopic repair of giant hiatal hernia.

Methods

Statistical analysis 22 patients of giant hiatal hernia in our hospital from October 2015 to December 2017.There were 14 males and 8 females, aged 35~68(42.37±4.28)years.All of them were underwent laparoscopic repair of giant hiatal hernia in general anesthesia with double lumen bronchial intubation.Statistical analysis of intraoperative anesthesia monitoring index.

Results

22 cases of laparoscopic giant hiatal hernia repair were successful, There was no transit to open the abdomen.The operative time was 158~246(173.46±18.33)min, and the intraoperative bleeding was15~100(46.38±5.27)ml.During anesthesia induction and maintenance, the vital signs of patients were stable and no cardiovascular and respiratory stress reactions occurred.

Conclusion

Laparoscopic repair of giant hiatal hernia was performed under double lumen bronchial intubation under general anesthesia.Under the condition of ensuring oxygen supply to the body, the pressure of work and contents of double lung ventilation in the thoracic cavity was reduced, and the effect on cardiac pump and circulation was alleviated.The operation is safe and effective, and it is worth popularizing.

Key words: Hernia, hiatal, Laparoscopic, General anesthesia

Zhengrong Niu, Yiliang Li, Guiping Xu, Limu Ke. Application of double lumen bronchus intubation in laparoscopic giant esophageal hiatal hernia repair[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2018, 05(01): 19-21.

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Figures/Tables 1

References 9

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监测项目	麻醉诱导前双肺通气	气腹前单肺通气	气腹后单肺通气	将疝内容物回纳腹腔后双肺通气	手术完毕麻醉苏醒后
HP(次/min)	95.43±15.32	84.35±12.44	82.27±11.46	68.83±9.14	93.75±8.32
SB(mmHg)	148.81±12.73	115.43±18.11	138.44±9.67	117.26±8.42	151.23±14.51
DB(mmHg)	75.46±8.24	68.52±8.26	69.43±7.52	55.49±7.22	84.32±14.28
PaCO₂(mmHg)	53.17±4.21	48.51±3.27	44.28±5.27	41.16±10.28	37.58±7.29
PaO₂(mmHg)	88.42±8.25	187.24±43.16	173.16±36.51	243.85±48.37	118.44±33.45
SpO₂	95.24±2.44	96.17±5.43	97.22±3.55	98.46±3.71	96.73±2.66
PH	7.35±0.16	7.38±0.24	7.43±0.54	7.44±0.31	7.38±0.22
AB	22.43±1.42	22.73±2.84	23.69±2.76	25.81±3.46	22.78±3.15
ETCO₂(mmHg)	42.88±6.28	41.46±3.22	42.63±2.57	45.16±2.81	43.76±1.87
PEAK(cmH₂O)	自主呼吸	17.59±4.22	21.57±4.81	22.84±3.16	自主呼吸
VT(ml)	356.48±44.26	324.59±46.57	358.47±42.33	428.76±55.18	461.37±41.28
呼吸频率(次/min)	24.56±4.23	22.47±4.28	19.44±2.57	18.46±2.36	21.46±1.87
ECG	窦性心律	窦性心律	窦性心律	窦性心律	窦性心律

监测项目	麻醉诱导前双肺通气	气腹前单肺通气	气腹后单肺通气	将疝内容物回纳腹腔后双肺通气	手术完毕麻醉苏醒后
HP(次/min)	95.43±15.32	84.35±12.44	82.27±11.46	68.83±9.14	93.75±8.32
SB(mmHg)	148.81±12.73	115.43±18.11	138.44±9.67	117.26±8.42	151.23±14.51
DB(mmHg)	75.46±8.24	68.52±8.26	69.43±7.52	55.49±7.22	84.32±14.28
PaCO₂(mmHg)	53.17±4.21	48.51±3.27	44.28±5.27	41.16±10.28	37.58±7.29
PaO₂(mmHg)	88.42±8.25	187.24±43.16	173.16±36.51	243.85±48.37	118.44±33.45
SpO₂	95.24±2.44	96.17±5.43	97.22±3.55	98.46±3.71	96.73±2.66
PH	7.35±0.16	7.38±0.24	7.43±0.54	7.44±0.31	7.38±0.22
AB	22.43±1.42	22.73±2.84	23.69±2.76	25.81±3.46	22.78±3.15
ETCO₂(mmHg)	42.88±6.28	41.46±3.22	42.63±2.57	45.16±2.81	43.76±1.87
PEAK(cmH₂O)	自主呼吸	17.59±4.22	21.57±4.81	22.84±3.16	自主呼吸
VT(ml)	356.48±44.26	324.59±46.57	358.47±42.33	428.76±55.18	461.37±41.28
呼吸频率(次/min)	24.56±4.23	22.47±4.28	19.44±2.57	18.46±2.36	21.46±1.87
ECG	窦性心律	窦性心律	窦性心律	窦性心律	窦性心律

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