복강경하 신장 절제술 중 발생한 피하기종
Subcutaneous Emphysema during Retroperitoneal Laparoscopic Nephrectomy
- 조재형(Jae Hyoung Cho) 박천희(Choen Hee Park)
- 조선대학교 의학연구원
- The Medical Journal of Chosun University
- 제43권 제2호
- 121 - 124 (4 pages)
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.