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    Rupture of endotracheal tube cuff during robot-assisted endoscopic thyroidectomy -A case report-

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    https://www.riss.kr/link?id=A104350414

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    We encountered a case of a rupture of an endotracheal tube cuff during robot-assisted thyroid surgery in a 35-yearold male patient. Two hours after commencing surgery, the bellows of the ventilator were not filled and a rupture of the endotracheal tube cuff was suspected. Once the robot-manipulator is engaged, the position of the operating table cannot be altered without removing it from the patient. Reintubation with direct laryngoscopy was performed with difficulty in the narrow space between the patient’s head and robot-manipulator without moving the robot away from the patient. The rupture of the endotracheal tube cuff was confirmed by observing air bubbles exiting from the balloon in water. The patient was discharged 3 days after surgery without complications. In robot-assisted thyroid surgery, a preoperative arrangement of the robot away from the patient’s head to obtain easy access to the patient is essential for safe anesthetic care.
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    We encountered a case of a rupture of an endotracheal tube cuff during robot-assisted thyroid surgery in a 35-yearold male patient. Two hours after commencing surgery, the bellows of the ventilator were not filled and a rupture of the endotracheal tub...

    We encountered a case of a rupture of an endotracheal tube cuff during robot-assisted thyroid surgery in a 35-yearold male patient. Two hours after commencing surgery, the bellows of the ventilator were not filled and a rupture of the endotracheal tube cuff was suspected. Once the robot-manipulator is engaged, the position of the operating table cannot be altered without removing it from the patient. Reintubation with direct laryngoscopy was performed with difficulty in the narrow space between the patient’s head and robot-manipulator without moving the robot away from the patient. The rupture of the endotracheal tube cuff was confirmed by observing air bubbles exiting from the balloon in water. The patient was discharged 3 days after surgery without complications. In robot-assisted thyroid surgery, a preoperative arrangement of the robot away from the patient’s head to obtain easy access to the patient is essential for safe anesthetic care.

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    참고문헌 (Reference)

    1 정성문, "갑상선절제술 중 발생한 기관 손상으로 인한 양측성 기흉" 대한마취과학회 53 (53): 399-402, 2007

    2 Gries CJ, "Tracheal rupture resulting in life-threatening subcutaneous emphysema" 52 : 191-192, 2007

    3 Chauhan A, "Tracheal necrosis with surgical emphysema following thyroidectomy" 55 : 193-195, 2009

    4 Han Suk Park, "Tracheal laceration detected by high end-tidal CO2during endoscopic thyroidectomy" 대한마취과학회 56 (56): 703-705, 2009

    5 Pandey CK, "Tracheal injury during endoscopic hemithyroidectomy" 11 : 43-46, 2001

    6 van der Meijden OA, "The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review" 23 : 1180-1190, 2009

    7 Kang SW, "Robotassisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach" 209 : e1-7, 2009

    8 Gosnell JE, "Inadvertent tracheal perforation during thyroidectomy" 93 : 55-56, 2006

    9 Iacconi P, "Inadvertent tracheal perforation during thyroidectomy" 93 : 770-771, 2006

    10 Lee KE, "Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience" 19 : e71-75, 2009

    1 정성문, "갑상선절제술 중 발생한 기관 손상으로 인한 양측성 기흉" 대한마취과학회 53 (53): 399-402, 2007

    2 Gries CJ, "Tracheal rupture resulting in life-threatening subcutaneous emphysema" 52 : 191-192, 2007

    3 Chauhan A, "Tracheal necrosis with surgical emphysema following thyroidectomy" 55 : 193-195, 2009

    4 Han Suk Park, "Tracheal laceration detected by high end-tidal CO2during endoscopic thyroidectomy" 대한마취과학회 56 (56): 703-705, 2009

    5 Pandey CK, "Tracheal injury during endoscopic hemithyroidectomy" 11 : 43-46, 2001

    6 van der Meijden OA, "The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review" 23 : 1180-1190, 2009

    7 Kang SW, "Robotassisted endoscopic thyroidectomy for thyroid malignancies using a gasless transaxillary approach" 209 : e1-7, 2009

    8 Gosnell JE, "Inadvertent tracheal perforation during thyroidectomy" 93 : 55-56, 2006

    9 Iacconi P, "Inadvertent tracheal perforation during thyroidectomy" 93 : 770-771, 2006

    10 Lee KE, "Endoscopic thyroidectomy with the da Vinci robot system using the bilateral axillary breast approach (BABA) technique: our initial experience" 19 : e71-75, 2009

    11 Damrose EJ, "Delayed tracheal rupture following thyroidectomy" 36 : 113-115, 2009

    12 Parr KG, "Anesthetic implications of the addition of an operative robot for endoscopic surgery: a case report" 14 : 228-233, 2002

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