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.