[A case of pulmonary embolism and a case of ileus as complications after laparoscopic radical prostatectomy].
In recent years, the use of laparoscopic techniques for surgical operations has been increasing, because this procedure is less invasive and is excellent in regard to patient's quality of life. Normally, complications are rare in laparoscopic surgery. However, we experienced a case of pulmonary embolism and one case of ileus as complications after laparoscopic radical prostatectomy. Especially, in this type of operation, the danger of complications is increased due to the severe head down and lithotomy position, which is employed to ensure a good view during operation. In this particular case, the long duration of operation may have been another related risk factor. There were no risk factors for pulmonary embolism such as those encountered when a patient is aged, obese, or bed ridden for a long time. However, an intermittent air massage must be applied to the lower legs to prevent thrombus due to poor blood circulation of the lower extremities below the knee during the surgery. It is also necessary to change the posture of the patient frequently after the operation. In addition, the administration of low molecular weight heparin may also be effective.
Fujita
Akiko
A
Department of Anesthesiology, Kyoto Prefectural University of Medicine, Kyoto 602-8566.
Yamazaki
Yasuo
Y
Yamashita
Tomomitsu
T
Ibuki
Takae
T
Hosokawa
Toyoshi
T
Tanaka
Yoshifumi
Y
D000368:Aged; D000768:Anesthesia, General; D006495:Heparin, Low-Molecular-Weight / Q000008:administration & dosage; D006801:Humans; D007415:Intestinal Obstruction / Q000517:prevention & control / Q000628:therapy*; D010535:Laparoscopy; D008297:Male; D008405:Massage; D011183:Postoperative Complications / Q000628:therapy*; D011187:Posture; D011468:Prostatectomy; D011655:Pulmonary Embolism / Q000517:prevention & control / Q000628:therapy*
D006495:Heparin, Low-Molecular-Weight