Anesthesia Experience of Thoracoscopic Lobectomy in a Patient with Situs Inversus Totalis

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  • 完全内臓逆位患者に対する胸腔鏡下肺葉切除術の麻酔経験

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Abstract

<p>A 74-year-old woman with situs inversus totalis was scheduled for thoracoscopic right upper lobectomy due to lung cancer. Preoperatively, we examined the strategy of one lung ventilation during surgery. Considering the surgical procedure, the patient’s bronchial length, and past literature, we made an anesthesia plan to intubate a right-sided double lumen tube into the right（anatomical left）main bronchus with bronchoscopy. General anesthesia was induced with intravenous administration of propofol, remifentanil and rocuronium. Due to our careful preparation, intubation and intraoperative management were carried out uneventfully without any postoperative complications.</p>

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