@article{ACR12907,
author = {Sou-Hyun Lee and Sung-Hye Byun},
title = {One-lung ventilation with intentional closure of the nonventilated lumen in a patient with giant pulmonary bullae undergoing laparoscopic anterior resection: a case report},
journal = {AME Case Reports},
volume = {0},
number = {0},
year = {2026},
keywords = {},
abstract = {Anesthetic management of patients with giant pulmonary bullae undergoing nonthoracic laparoscopic surgery is challenging because positive pressure ventilation may further distend or rupture the bullous lung, whereas carbon dioxide (CO₂) pneumoperitoneum and Trendelenburg positioning increase ventilator demand. In conventional one-lung ventilation (OLV) with double-lumen tube (DLT), non-ventilated lumen is usually left open to ambient air. However, this may theoretically promote further bullous distension in closed-chest state. Reports of intentionally keeping the nonventilated lumen closed in this setting are limited.},
issn = {2523-1995}, url = {https://acr.amegroups.org/article/view/12907}
}