Application of double lumen bronchus intubation in laparoscopic giant esophageal hiatal hernia repair

Abstract

Objective To investigate the efficacy and safety of general anesthesia with double lumen bronchial intubation in laparoscopic repair of giant hiatal hernia. Methods Statistical analysis 22 patients of giant hiatal hernia in our hospital from October 2015 to December 2017.There were 14 males and 8 females, aged 35~68(42.37±4.28)years.All of them were underwent laparoscopic repair of giant hiatal hernia in general anesthesia with double lumen bronchial intubation.Statistical analysis of intraoperative anesthesia monitoring index. Results 22 cases of laparoscopic giant hiatal hernia repair were successful, There was no transit to open the abdomen.The operative time was 158~246(173.46±18.33)min, and the intraoperative bleeding was15~100(46.38±5.27)ml.During anesthesia induction and maintenance, the vital signs of patients were stable and no cardiovascular and respiratory stress reactions occurred. Conclusion Laparoscopic repair of giant hiatal hernia was performed under double lumen bronchial intubation under general anesthesia.Under the condition of ensuring oxygen supply to the body, the pressure of work and contents of double lung ventilation in the thoracic cavity was reduced, and the effect on cardiac pump and circulation was alleviated.The operation is safe and effective, and it is worth popularizing. Key words: Hernia, hiatal; Laparoscopic; General anesthesia