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복강경하 신장 절제술 중 발생한 피하기종

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Author(s)
조재형 박천희
Issued Date
2018
Keyword
Retroperitoneal laparoscopy Subcutaneous emphysema Hypercarbia End tidal CO2
Abstract
Laparoscopy is frequent used to assist the diagnosis and treatment of various surgical department. However, complications associated with the procedure including pneumothorax, pneumomediastinum, subcutaneous emphysema, pneumopericardi-um, and air embolism have been reported. Incidence of subcutaneous emphysema during extraperitoneal laparoscopic sur-gery has been reported 99%. We report the case of a 76 years old female patient who had subcutaneous emphysema and hypercarbia during retroperitoneal laparoscopic nephrectomy. After developing hypercapnia, we increased the minute venti-lation and lowered the CO2 gas insufflation pressure. Until the end of the operation, the patient's vital signs did not change and end tidal CO2 was not increased any more.
Alternative Title
Subcutaneous Emphysema during Retroperitoneal Laparoscopic Nephrectomy
Alternative Author(s)
Jae Hyoung Cho Choen Hee Park
Publisher
조선대학교 의학연구원
Citation
조재형. (2018). 복강경하 신장 절제술 중 발생한 피하기종, MJCU | Vol.43, No.2 p.121 ~ p.124
Type
Laboratory article
ISSN
1225-0082
URI
https://oak.chosun.ac.kr/handle/2020.oak/17204
http://www.chosun.ac.kr/user/indexSub.do?codyMenuSeq=497586153&siteId=medres
Appears in Collections:
2018 > Vol.43, No.2
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