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Improvement of surgical complications using single-lumen endotracheal tube intubation and artificial carbon dioxide pneumothorax in esophagectomy: A meta-analysis

Journal of Cardiothoracic Surgery Apr 26, 2021

Chuang KH, Lai HH, Chen Y, et al. - Given that surgery is the main treatment for esophageal cancer but is associated with a high risk of complications, and some surgical strategies have tested to eliminate complications, researchers conducted this meta-analysis to determine whether single-lumen endotracheal tube intubation with carbon dioxide (CO 2 ) inflation is a beneficial option. They explored PubMed, Medline, and Scopus to identify studies on esophagectomy and CO 2 inflation. The main outcomes were odds ratio of postoperative pulmonary complications and anastomosis leakage. Four case-control studies comprising 1,503 patients were analyzed in the meta-analysis. Per findings, improvement of pulmonary complications as well as shortening of hospitalization duration was conferred by single-lumen endotracheal tube intubation with CO 2 inflation, however, it failed to exert a beneficial impact on anastomosis leakage.

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