title: Ventilatory impairment during laparoscopic cholecystectomy in a patient with a ventriculoperitoneal shunt.
abstract: A patient with a recently placed ventriculoperitoneal shunt suffered ventilatory impairment due to decreased thoracic compliance related to massive subcutaneous emphysema during laparoscopic cholecystectomy. The patient recovered uneventfully; however, recently established closed communication between the peritoneal cavity and the subcutaneous space may be a relative contraindication to laparoscopic surgery.
authors.affiliation: Department of Surgery, Morristown Memorial Hospital, NJ.
authors.forename: D A
authors.initials: DA
authors.lastname: Schwed
authors.forename: J K
authors.initials: JK
authors.lastname: Edoga
authors.forename: T E
authors.initials: TE
authors.lastname: McDonnell
mesh_terms: D000368:Aged; D002552:Cerebral Ventricles / Q000601:surgery; D002557:Cerebrospinal Fluid Shunts / Q000009:adverse effects*; D002763:Cholecystectomy / Q000009:adverse effects*; D002764:Cholecystitis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000601:surgery*; D006985:Hyperventilation / Q000209:etiology*; D007431:Intraoperative Complications / Q000209:etiology*; D010529:Peritoneal Cavity / Q000601:surgery; D013352:Subcutaneous Emphysema / Q000209:etiology*