Prevention and management of related complication due to laparoscopic operation: pneumothorax, pneumomediastinum and subcutaneous emphysema.
Essential prerequisite of laparoscopic operation is establishing and maintaining pneumoperitoneum with a certain pressure. But under certain circumstances CO2-gas insufflating could induce pneumothorax, pneumomediastinum and subcutaneous emphysema during the operation. to probe the mechanism of the above complications. 2 typical cases were reported with attempt to probe the mechanism of the development of such applications. We believe that high intra-abdominal pressure during operation is the primary cause of the complications. The essentials of prevention and management of such complications were proposed.
Zhou
H
H
Department of Surgery, Xiehe Hospital, Tongji Medical University, Wuhan.
Huang
T
T
Zheng
Q
Q
Klinger
P
P
D000328:Adult; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008478:Mediastinal Emphysema / Q000209:etiology / Q000517:prevention & control*; D008875:Middle Aged; D011030:Pneumothorax / Q000209:etiology / Q000517:prevention & control*; D013352:Subcutaneous Emphysema / Q000209:etiology / Q000517:prevention & control*