Successful use of supraglottic airway in a professional singer undergoing laparoscopic living donor right hepatectomy - A case report -

Abstract

Recently, purely laparoscopic donor hepatectomy has been increasingly performed for its cosmetic and rapid recovery advantages. Because it requires a longer operative time and capnoperitoneum, it is preferred to use endotracheal intubation. This report presents our experience with using a supraglottic airway in a young female singer undergoing a laparoscopic donor right hepatectomy. Our case shows how the supraglottic airway can be a safe and effective alternative to endotracheal intubation during laparoscopic donor hepatectomy. CASE REPORTA 25-year-old female singer (weight 43.3 kg, height 150.4 cm) was scheduled to undergo a right hepatectomy for her father's liver transplantation. She elected the laparoscopic approach for rapid recovery and prevention of cosmetic complications. After we had a direct conversation with the patient, the use of the supraglottic airway was decided upon to prevent potential laryngeal damage after endotracheal intubation. After starting fasting at midnight the night before, the patient was transferred to the operating room. After instituting monitoring by standard devices, including pulse oximetry, 3-lead electrocardiography and non-invasive arterial blood pressure monitoring, 400 µg of morphine sulfate (Hana Pharmaceutical Co., Ltd., Korea) was injected intrathecally for postoperative pain control. Anesthesia was induced with 300 mg of thiopental sodium, and maintained with continu-