China bears the heaviest burden of esophageal cancer globally, with annual new cases and deaths accounting for over 50% of the world's total. Surgical operation is the core of radical treatment for esophageal cancer. Among them, video-assisted thoracoscopic surgery (VATS) has gradually replaced traditional open thoracic surgery and become the clinical first choice due to its advantages of less tra
Conditions
Interventions
Control group:Single tracheal tube
Test group:Video-assisted single tracheal tube
Sponsors
The Second Affiliated Hospital of Zhejiang University School of Medicine
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Aged >= 18 years; 2. ASA physical status classification = III; 3. Scheduled for elective video-assisted thoracoscopic radical esophagectomy.
Exclusion criteria
Exclusion criteria: 1. With a history or anticipation of difficult tracheal intubation (body mass index > 35 kg/m², limited neck movement, mouth opening = 3); 2. Radiological evidence of lower airway anatomical abnormalities; 3. Previous thoracic surgery or ipsilateral pleurectomy; 4. Trauma patients or those with any conditions prohibiting the placement of bronchial blockers, a; 5. With a history of mental illness.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of one-lung ventilation and operation time;Time to achieve one-lung ventilation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of postoperative pneumonia;Number of occurrences and duration of intraoperative hypoxemia;Extubation time, recovery time;Number of uses and duration of flexible bronchoscope;ICU stay time, hospital stay time, hospitalization expenses;Incidence of hoarseness and sore throat immediately after extubation and 24 hours after surgery;Quality of lung collapse;Incidence of endotracheal tube displacement;Vital signs;Number of cases with correct initial placement of the blocker (success rate), number of attempts for correct placement of the blocker;Satisfaction of anesthesiologists and surgeons at the end of the operation; | — |
Countries
China
Contacts
Public ContactMin Yan
The Second Affiliated Hospital of Zhejiang University School of Medicine
Outcome results
None listed