TY - JOUR AU - Yasuda, Manabu AU - Nakanishi, Ryoichi AU - Shinohara, Shinji AU - Mori, Masataka AU - Ashikari, Syuhei AU - Oyama, Tsunehiro AU - Hanagiri, Takeshi PY - 2017 TI - Contralateral thoracoscopic lobectomy in postlobectomy patients JF - Journal of Thoracic Disease; Vol 9, No 9 (September 27, 2017): Journal of Thoracic Disease Y2 - 2017 KW - N2 - Background: It is difficult to perform thoracoscopic lobectomy in patients with a history of contralateral lobectomy, as stable oxygenation is not always maintained under conditions of one-lung ventilation during surgery. Methods: This study evaluated 14 patients who underwent thoracoscopic lobectomy after previously undergoing contralateral lobectomy at a single institution between 2008 and 2015. Results: Among 14 patients who had previously received contralateral lobectomy, 4 were unable to maintain sufficient perioperative oxygenation with usual one-lung ventilation. The predicted pulmonary function before surgery in these patients was as follows: both (I) predicted postoperative forced expiratory volume in 1 second 2 ; and (II) ≤5 contralateral residual segments for ventilation. Regarding special oxygenation techniques, two underwent selective ventilation using lobe-selective bronchial blockade, one underwent intermittent positive airway pressure for operative side lung, and one underwent high-frequency jet ventilation for operative residual lobe. Conclusions: When performing thoracoscopic lobectomy in patients with a history of contralateral lobectomy, a careful evaluation of the preoperative pulmonary function is needed. UR - https://jtd.amegroups.org/article/view/15548