Use of CO2 in video assisted thoracic surgery and single-lumen endotracheal tube-a new less invasive approach

Javier Gallego-Poveda; Nuno Carvalho Guerra; Catarina Carvalheiro; Hugo Ferreira; André Sena; Nádia Junqueira; Tiago Rodrigues Velho; Ângelo Nobre

doi:10.21037/jtd.2017.01.53

Use of CO₂ in video assisted thoracic surgery and single-lumen endotracheal tube-a new less invasive approach

J Thorac Dis. 2017 Apr;9(4):903-906. doi: 10.21037/jtd.2017.01.53.

Authors

Javier Gallego-Poveda¹, Nuno Carvalho Guerra¹, Catarina Carvalheiro¹, Hugo Ferreira¹, André Sena¹, Nádia Junqueira¹, Tiago Rodrigues Velho¹, Ângelo Nobre¹

Affiliation

¹ Cardiothoracic Surgical Department, Santa Maria University Hospital, Lisbon, Portugal.

Abstract

Carbon dioxide (CO₂) has been extensively used to allow laparoscopic procedures, due to its extensive advantages in obtaining a fairly innocuous pneumoperitoneum to allow visceral dissection. Its use in video assisted thoracic surgery (VATS) has seldom been described. We present our experience in more than 100 patients, operated for various thoracic pathologies, in whom we created a surgical pneumothorax to allow different surgeries to be undertaken.

Keywords: Video assisted thoracic surgery (VATS); carbon dioxide (CO2); minimally invasive ventilation; pneumothorax.

Publication types

Review