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. 2020 Mar 25;4:2. doi: 10.21037/med.2019.09.04

Table 2. Situations requiring conversion to open.

Reasons for conversion Description of the reasons for conversion
Inadequate deflation of lung (anaesthetic reasons) Intubation related to difficulties (could not achieve lung isolation)
Not tolerating low tidal volume using SLT with DLV
Not tolerating carbon dioxide insufflation (in DLV)
Visibility issues detected intra-operatively Small thoracic cage compared to tumor size
Intraoperative bleeding
Congenital deformities
Locally advanced tumors Extensive contact/dense adhesions/involving great vessels
Experience Early part of learning curve (prolonged duration of surgery)

SLT, single lumen tube; DLV, double-lung ventilation.