Improvement of surgical complications using single-lumen endotracheal tube intubation and artificial carbon dioxide pneumothorax in esophagectomy: a meta-analysis
| العنوان: | Improvement of surgical complications using single-lumen endotracheal tube intubation and artificial carbon dioxide pneumothorax in esophagectomy: a meta-analysis |
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| المؤلفون: | Yen-Hao Chen, Li-Chun Chen, Hsing-Hua Lai, Kai-Hao Chuang, Shau-Hsuan Li, Yu Chen, Chien Ming Lo, Hung-I Lu |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-8 (2021) Journal of Cardiothoracic Surgery |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Esophageal Neoplasms, RD1-811, medicine.medical_treatment, Video-Assisted Surgery, 030204 cardiovascular system & hematology, Anastomosis, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology, Intubation, Intratracheal, medicine, Humans, Intubation, Anesthesia, RD78.3-87.3, Lung, business.industry, Artificial pneumothorax, Pneumothorax, Insufflation, General Medicine, Odds ratio, Carbon Dioxide, Prognosis, medicine.disease, Cardiac surgery, Surgery, Esophagectomy, Treatment Outcome, Cardiothoracic surgery, Case-Control Studies, 030220 oncology & carcinogenesis, Video-assisted thoracoscopic surgery, Female, CO2, Cardiology and Cardiovascular Medicine, business, Research Article |
| الوصف: | Background Esophageal cancer has a poor prognosis. Surgery is the main treatment but involves a high risk of complications. Some surgical strategies have tried to eliminate complications. Our meta-analysis tried to find the benefits of single-lumen endotracheal tube intubation with carbon dioxide (CO2) inflation. Methods A systematic search of studies on esophagectomy and CO2 inflation was conducted using PubMed, Medline, and Scopus. The odds ratio of post-operative pulmonary complications and anastomosis leakage were the primary outcomes. The standardized mean difference (SMD) in post-operative hospitalization duration was the secondary outcome. Results The meta-analysis included four case-control studies with a total of 1503 patients. The analysis showed a lower odds ratio of pulmonary complications in the single-lumen endotracheal tube intubation in the CO2 inflation group (odds ratio: 0.756 [95% confidence interval, CI: 0.518 to 1.103]) compared to that in the double-lumen endotracheal tube intubation group, but anastomosis leakage did not improve (odds ratio: 1.056 [95% CI: 0.769 to 1.45])). The SMD in hospitalization duration did not show significant improvement. (SMD: -0.141[95% CI: − 0.248 to − 0.034]). Conclusions Single-lumen endotracheal tube intubation with CO2 inflation improved pulmonary complications and shortened the hospitalization duration. However, no benefit in anastomosis leakage was observed. |
| اللغة: | English |
| تدمد: | 1749-8090 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2604280b17c68e561c2ba53a3aa400b4Test https://doaj.org/article/27b6922c4ebe4b8890a8bb6157afe9b4Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2604280b17c68e561c2ba53a3aa400b4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17498090 |
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