{"title":"Application of extracorporeal membrane oxygenation in the endoscopic treatment of severe benign airway stenosis: A case report and literature review","authors":"Yuyuan Liang , Jihong Zhu , Xing Zheng , Qing Qiao , Yaolin Guan , Jisong Zhang , Enguo Chen","doi":"10.1016/j.lers.2021.04.002","DOIUrl":null,"url":null,"abstract":"<div><p>Ventilation strategies in patients with severe tracheal stenosis should be tailored to the patient according to the underlying cause and narrowing location. This report is on a case of a 68-year-old male patient, who was admitted for radiotherapy because of esophageal cancer and then developed severe stenosis at the cervical trachea. We used venovenous extracorporeal membrane oxygenation to secure the airway and ensure adequate oxygenation. Then urgent endoscopic balloon dilation of airway stenosis was successfully performed under general anesthesia. This case shows that venovenous extracorporeal membrane oxygenation can be used in endoscopic tracheal procedures for patients with severe benign stenosis in the upper-trachea who are unable to tolerate conventional ventilation.</p></div>","PeriodicalId":32893,"journal":{"name":"Laparoscopic Endoscopic and Robotic Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.lers.2021.04.002","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Laparoscopic Endoscopic and Robotic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468900921000189","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Ventilation strategies in patients with severe tracheal stenosis should be tailored to the patient according to the underlying cause and narrowing location. This report is on a case of a 68-year-old male patient, who was admitted for radiotherapy because of esophageal cancer and then developed severe stenosis at the cervical trachea. We used venovenous extracorporeal membrane oxygenation to secure the airway and ensure adequate oxygenation. Then urgent endoscopic balloon dilation of airway stenosis was successfully performed under general anesthesia. This case shows that venovenous extracorporeal membrane oxygenation can be used in endoscopic tracheal procedures for patients with severe benign stenosis in the upper-trachea who are unable to tolerate conventional ventilation.
期刊介绍:
Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development.
Topics of interests include, but are not limited to:
▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.;
▪ Basic research in minimally invasive surgery;
▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging;
▪ Development of medical education in minimally invasive surgery.