Gas embolism during laparoscopic cholecystectomy

被引:29
|
作者
Cobb, WS [1 ]
Fleishman, HA [1 ]
Kercher, KW [1 ]
Matthews, BD [1 ]
Heniford, BT [1 ]
机构
[1] Carolinas Med Ctr, Dept Surg, Carolinas Laparoscop & Adv Surg Program, Charlotte, NC 28203 USA
来源
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES | 2005年 / 15卷 / 04期
关键词
D O I
10.1089/lap.2005.15.387
中图分类号
R61 [外科手术学];
学科分类号
摘要
Advancements in laparoscopic surgery have resulted in decreased length of hospitalization, reduced postoperative pain, and better cosmesis following general surgical procedures. Carbon dioxide gas embolism is a rare occurrence that can be fatal. We report the case of a patient with a venous gas embolism during laparoscopic cholecystectomy. A 63-year-old woman presented with intermittent right upper quadrant pain, and her abdominal ultrasound showed a possible gallbladder polyp. A laparoscopic cholecystectomy was planned. A Veress needle was placed in the right upper quadrant to initiate abdominal access. Shortly after carbon dioxide insufflation, the patient's hemodynamic status deteriorated, her oxygen saturation dropped, and her end-tidal CO2 decreased. Gas insufflation was immediately stopped, and the patient was resuscitated. She stabilized quickly, and the procedure was performed without further event. She did well postoperatively and was discharged home the next day. Carbon dioxide embolism during laparoscopy, albeit rare, can be a fatal complication of the procedure. Whenever sudden changes in hemodynamic stability occur, venous gas embolism should be considered. As laparoscopic techniques and applications are expanded, the general surgeon must be aware of this entity.
引用
收藏
页码:387 / 390
页数:4
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