title: [A case of severe subcutaneous emphysema during laparoscopic right-hemicolectomy].
abstract: A 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.
authors.affiliation: Dept. of Surgery, Hyogo Prefectural Nishinomiya Hospital, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kubo
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Masaki
authors.initials: M
authors.lastname: Tsujie
authors.forename: Kei
authors.initials: K
authors.lastname: Asukai
authors.forename: Tomoki
authors.initials: T
authors.lastname: Hata
authors.forename: Sachiko
authors.initials: S
authors.lastname: Mizumoto
authors.forename: Kozo
authors.initials: K
authors.lastname: Noguchi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Takiuchi
authors.forename: Rie
authors.initials: R
authors.lastname: Hamano
authors.forename: Masaki
authors.initials: M
authors.lastname: Kashiwazaki
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Miki
authors.forename: Muneharu
authors.initials: M
authors.lastname: Konishi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yano
mesh_terms: D000368:Aged; D003082:Colectomy; D003110:Colonic Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D011859:Radiography; D013352:Subcutaneous Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*