| Occurrence of iatrogenic pneumothorax during laparoscopy-assisted distal gastrectomy: A case report. |
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Yun Hee Kim, Seung Zhoo Yoon, Choon Hak Lim, Ji Yong Park, Hye Won Lee |
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Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Korea. monday1031@yahoo.co.kr |
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| Abstract |
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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. |
| Key Words:
Iatrogenic diaphragmatic injury; Laparoscopy-assisted distal gastrectomy (LADG); Pneumothorax |
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