Anesthetic Management of Pleurectomy/Decortication Under Differential Lung Ventilation

Kurume Med J. 2018 Dec 21;65(1):23-25. doi: 10.2739/kurumemedj.MS651005. Epub 2018 Aug 30.


A 64-year-old male (a building demolition worker) was diagnosed with malignant left-sided pleural mesothelioma, and left-sided pleurectomy/decortication was scheduled. Differential lung ventilation (DLV) was performed during the removal of the visceral pleura by connecting the affected lung to a ventilator and the healthy lung to an anesthesia machine, and then separately ventilating the left and right lungs. Anesthetic management using DLV was successfully established without causing significant changes in oxygenation or circulatory dynamics.

Keywords: differential lung ventilation; malignant pleural mesothelioma; pleurectomy/decortication.

Publication types

  • Case Reports

MeSH terms

  • Anesthesia, General / instrumentation
  • Anesthesia, General / methods*
  • Humans
  • Lung Neoplasms / surgery*
  • Male
  • Mesothelioma / surgery*
  • Mesothelioma, Malignant
  • Middle Aged
  • Pleural Neoplasms / surgery*
  • Respiration, Artificial / instrumentation
  • Respiration, Artificial / methods*
  • Thoracic Surgical Procedures / methods*
  • Treatment Outcome
  • Ventilators, Mechanical