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복강경하 신장 절제술 중 발생한 피하기종

Subcutaneous Emphysema during Retroperitoneal Laparoscopic Nephrectomy

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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 CO<sub>2</sub> gas insufflation pressure. Until the end of the operation, the patient’s vital signs did not change and end tidal CO<sub>2</sub> was not increased any more.

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