Why the study?
Few reports have described gastrectomy avoiding general anesthesia to prevent postoperative pulmonary complications in patients with severe respiratory dysfunction.
Can combined spinal-epidural anesthesia with dexmedetomidine sedation be successfully used for open distal gastrectomy in an older patient with severe COPD?
Can combined spinal-epidural anesthesia with dexmedetomidine sedation be successfully used for open distal gastrectomy in an older patient with severe COPD?
Combined spinal-epidural anesthesia with dexmedetomidine sedation can be a viable alternative to general anesthesia for open distal gastrectomy in patients with severe respiratory dysfunction.
Supports feasibility of avoiding general anesthesia in severe COPD gastrectomy; hypothesis-generating and should not yet change practice.
Only a few reports have described gastrectomy performed avoiding general anesthesia to prevent postoperative pulmonary complications in patients with severe respiratory dysfunction. An 80-year-old male patient with severe chronic obstructive pulmonary disease was scheduled to undergo surgery for advanced gastric cancer. We successfully managed him using combined spinal-epidural anesthesia with dexmedetomidine sedation during open distal gastrectomy.
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Shinohara et al. (2025) studied this question.
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