Korean J Anesthesiol.
2009 Dec;57(6):765-767. 10.4097/kjae.2009.57.6.765.
Occurrence of iatrogenic pneumothorax during laparoscopy-assisted distal gastrectomy: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Korea. monday1031@yahoo.co.kr
- KMID: 2239798
- DOI: http://doi.org/10.4097/kjae.2009.57.6.765
Abstract
- The occurrence of a pneumothorax during laparoscopy-assisted distal gastrectomy (LADG) is rare. A pneumothorax was developed during a LADG under general anesthesia in a 67-year-old woman with gastric cancer. About 140 minutes after CO2 insufflation, sudden hemodynamic collapse occurred. A defect was noted in the diaphragm. After immediate repair under laparoscopy, hemodynamic stability was achieved within several minutes. In the anesthetic management of a LADG, the anesthesia provider should be aware of the possible occurrence of a pneumothorax.
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