AI Article Synopsis
- A 55-year-old woman underwent laparoscopic adrenal surgery, receiving anesthesia through propofol, nitrous oxide/sevoflurane, and an epidural.
- After the surgery, she experienced a sudden drop in oxygen levels and weaker breath sounds on one side, leading to a chest X-ray that revealed left pneumothorax and pneumomediastinum.
- The pneumothorax was likely caused by gas leakage during the surgery or a minor diaphragm injury, indicating that such complications, although rare, may occur more frequently in laparoscopic adrenal procedures due to the anatomy involved.
Article Abstract
A 55-year-old female patient was scheduled for laparoscopic adrenal surgery. In the operating room, anesthesia was induced with propofol and maintained with nitrous oxide/sevoflurane and epidural anesthesia. The operation was completed uneventfully. After tracheal extubation, Spo2 decreased suddenly from 98 to 92% and chest auscultation revealed weaker breathing sound on the left side. Left pneumothorax and pneumomediastinum were noticed on a chest X-ray. The pneumothorax in this case was thought to have been caused by passage of insufflation gas through the retroperitoneum to the mediastinum and thoracic cavity or by a minor injury of diaphragm. Although pneumothorax complication in laparoscopic surgery is rare, the frequency of its occurrence in laparoscopic adrenal surgery appears to be higher than other laparoscopic operations and may be due to the organ's location in the retroperitoneum near the diaphragm. Attention should be paid to the possibility of pneumothorax occurring during laparoscopic adrenal surgery even if there is no apparent surgical injury.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!