ABSTRACT

This case report is about a young gentleman who was diagnosed with advanced achalasia cardia with mega-esophagus and underwent an elective thoracoscopic and laparoscopic assisted esophagectomy (TLAE) in prone position. We highlight the challenges of maintaining correct placement of double lumen tube (DLT) while positioning the patient into prone position, as well as the use of fiberoptic bronchoscope (FOB) in troubleshooting dislodgement of DLT while pronated.