Argon gas embolism in the application of laparoscopic microwave coagulation therapy

Ikegami, Toru; Shimada, Mitsuo; Imura, Satoru; Nakamura, Tomoka; Kawahito, Shinji; Morine, Yuji; Kanemura, Hirofumi; Hanaoka, Jun

doi:10.1007/s00534-008-0039-5

Cited by 29 publications

(18 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of ABC in MIS is first reported by Low et al [91] in 1993. Numerous studies describing the efficiency as well as the dangers of ABC have been well documented [92–94]. …”

Section: Methodsmentioning

confidence: 99%

Common uses and cited complications of energy in surgery

et al. 2013

View full text Add to dashboard Cite

Background Instruments that apply energy to cut, coagulate and dissect tissue with minimal bleeding facilitate surgery. The improper use of energy devices may increase patient morbidity and mortality. The current article reviews various energy sources in terms of their common uses and safe practices. Methods For the purpose of this review, a general search was conducted through NCBI, SpringerLink and Google. Articles describing laparoscopic or minimally invasive surgeries using a single or multiple energy sources are considered, as are the articles comparing various commercial energy devices in laboratory settings. Keywords such as ‘laparoscopy’, ‘energy’, ‘laser’, ‘electrosurgery’, ‘monopolar’, ‘bipolar’, ‘harmonic’, ‘ultrasonic’, ‘cryosurgery’, ‘argon beam’, ‘laser’, ‘complications’, and ‘death’ were used in the search. Results and Conclusion A review of the literature shows that the performance of the energy devices depends upon the type of procedure. There is no consensus as to which device is optimal for a given procedure. The technical skill level of the surgeon and the knowledge about the devices are both important factors in deciding safe outcomes. As new energy devices enter the market increases, surgeons should be aware of their indicated use in laparoscopic, endoscopic and open surgery.

show abstract

“…The use of ABC in MIS is first reported by Low et al [91] in 1993. Numerous studies describing the efficiency as well as the dangers of ABC have been well documented [92–94]. …”

Section: Methodsmentioning

confidence: 99%

Common uses and cited complications of energy in surgery

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The argon beam coagulator is also known to have a risk to the gas emboli due to increased intraabdominal pressure under laparoscopic condition. Analysis of the literature and experienced surgeons propose its use respecting some rules: avoiding direct application close to the parenchymal surface, no pulverization on small hepatic veins holes, and venting the abdomen (open trocars) in order to decrease the intraperitoneal pressure [30]. Nowadays, PDE camera using ICG was reported that it is important to detect bile duct and intraoperatively [31, 32].…”

Section: Resultsmentioning

confidence: 99%

Elective laparoscopic deroofing to treat the spontaneous rupture of a large simple liver cyst: a case report

et al. 2016

View full text Add to dashboard Cite

BackgroundThe spontaneous rupture of nonparasitic liver cysts (NLC) is sometimes seen in clinical practice. However, there are no guidelines that describe the optimal treatment strategy and the surgical indications for an NLC rupture due to a small number of reports. Here, we present a case who underwent elective laparoscopic deroofing to treat a spontaneously ruptured NLC that had undergone conservative treatment.Case presentationA 67-year-old woman was referred to our hospital for the evaluation of acute abdominal pain after the conservative treatment of an NLC at another hospital. She had stable vital signs and no abdominal rigidity. We performed an elective laparoscopic deroofing following an examination of the cyst relative to the bile ducts and the patient’s general condition. Computed tomography (CT) and magnetic resonance imaging (MRI) showed that there was no solid mass in the cyst. During the laparoscopic surgery, the cyst wall was resected and the back wall of the cyst was incinerated using an inverse-opal-structure electrode. The patient’s postoperative course was stable without any complications.ConclusionsWe succeeded the conservative therapy and the elective laparoscopic surgery for ruptured of NLC. However, elective surgery in spontaneously ruptured NLC with intraabdominal infection or hemorrhage is still challenging.

show abstract

“…53 Use of the argon beam coagulator during laparoscopic procedures can produce alterations in the pneumopressure, and there have been a few reports of serious complications, including gas embolism and tension pneumothorax with this device. [54][55][56][57] Owing to these unfortunate incidents, there have been suggestions that the argon beam coagulator should only be used during laparoscopic surgery once all other possible methods of achieving hemostasis have been attempted. However, this technology has been shown to be safe as long as pressures are closely monitored and appropriate evacuations of flume and pressure is controlled.…”

Section: Use Of Sealants and Hemostats In Laparoscopic Liver Surgerymentioning

confidence: 99%

Use of Fibrin-Based Sealants and Gelatin-Matrix Hemostats in Laparoscopic Liver Surgery

Saif¹,

Jacob²,

Robinson³

et al. 2011

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

View full text Add to dashboard Cite

show abstract

Argon gas embolism in the application of laparoscopic microwave coagulation therapy

Cited by 29 publications

References 15 publications

Common uses and cited complications of energy in surgery

Common uses and cited complications of energy in surgery

Elective laparoscopic deroofing to treat the spontaneous rupture of a large simple liver cyst: a case report

Use of Fibrin-Based Sealants and Gelatin-Matrix Hemostats in Laparoscopic Liver Surgery

Contact Info

Product

Resources

About