Korean J Anesthesiol.  1995 Dec;29(6):918-921. 10.4097/kjae.1995.29.6.918.

Subcutaneous Emphysema During Laparoscopic Cholecystectomy in Difficultly Intubated Patient

Affiliations
  • 1Department of Anesthesiology, Won Kwang University, College of Medicine, Iksan, Korea.

Abstract

Subcutaneous emphysema can occur as the result of trauma, surgical procedure and anesthetic complication. As increasing numbers of laparoscopic procedures are performed, increasing numbers of complications directly related to laparoscopy will occur. A case is presented of subcutaneous emphysema without pneumothorax or pneumomediastinum during laparoscopic cholecystectomy in difficultly intubated patient. The cause is suspected of inadvertent subcutaneous insufflation of carbon dioxide during the initial Verres needle puncture for the establishment of pneumoperitoneum. Etiology and evaluation of subcutaneous emphysema possibly associated with this case are reviewed.

Keyword

Emphysema; Cholecystectomy; Laparoscopy

MeSH Terms

Carbon Dioxide
Cholecystectomy
Cholecystectomy, Laparoscopic*
Emphysema
Humans
Insufflation
Laparoscopy
Mediastinal Emphysema
Needles
Pneumoperitoneum
Pneumothorax
Punctures
Subcutaneous Emphysema*
Carbon Dioxide
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