Abstract
当院で行われた左側臥位の胸腔鏡下食道切除術（VATS-E）（L群）と腹臥位VATS-E（P群）各70例について後ろ向きに検討した．P群はL群と比べて胸部操作中の動脈血二酸化炭素分圧の最高値が高く，重篤な経皮的動脈血酸素飽和度低下の発生が多かった．また，体位変換の困難さに伴い麻酔導入時間が長かった．しかしP群は胸部操作中出血量，総輸液量，術中水分出納，胸部操作中の不整脈や術視野不良が有意に少なかった．腹臥位VATS-Eは呼吸管理や体位変換などの今後検討すべき問題点はあるが，循環動態は安定しており安全に管理できた．
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