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Gan To Kagaku Ryoho · Nov 2012
Case Reports[A case of severe subcutaneous emphysema during laparoscopic right-hemicolectomy].
- Masahiko Kubo, Shinichi Yoshioka, Masaki Tsujie, Kei Asukai, Tomoki Hata, Sachiko Mizumoto, Kozo Noguchi, Daisuke Takiuchi, Rie Hamano, Masaki Kashiwazaki, Hirofumi Miki, Muneharu Konishi, and Hiroshi Yano.
- Dept. of Surgery, Hyogo Prefectural Nishinomiya Hospital, Japan.
- Gan To Kagaku Ryoho. 2012 Nov 1;39(12):2216-8.
AbstractA 76-year-old woman, weighing 40 kg, was scheduled for laparoscopic right-hemicolectomy. Forty minutes after starting the laparoscopic procedure, PaCO2 increased to 64.3 mmHg. Massive subcutaneous emphysema from the anterior thorax to the abdomen was noted and we stopped the laparoscopic procedure. In the laparoscopic procedure for the treatment of colectomy, it is important to discover abnormalities such as snowball crepitation and arrhythmia, and to monitor ETCO2 continuously in order to avoid massive subcutaneous emphysema and hypercapnia. During a laparoscopic procedure, hypercapnia might cause acidosis, arrhythmia, hypotension, myocardial ischemia, and cardiac arrest.
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