Carbon Dioxide Embolism during Laparoscopy

Yacoub, O.; Cardona, Iván Darío Ramírez; Coveler, Lewis A.; Dodson, Melvin G.

doi:10.1097/00000542-198212000-00017

Cited by 125 publications

(40 citation statements)

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“…4,6,8 When CO 2 , which is highly soluble, is used, this accident is rare. 19,20 It has not been reported during laparoscopic liver resections or adrenalectomies, which also include dissection of the inferior vena cava or its major branches. However, precautions such as abdominal pressure monitoring and hepatic vein control are warranted.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Liver Resections: A Feasibility Study in 30 Patients

Cherqui¹,

Husson²,

Hammoud³

et al. 2000

Annals of Surgery

514

401

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ObjectiveTo assess the feasibility and safety of laparoscopic liver resections. Summary Background DataThe use of the laparoscopic approach for liver resections has remained limited for technical reasons. Progress in laparoscopic procedures and the development of dedicated technology have made it possible to consider laparoscopic resection in selected patients. MethodsA prospective study of laparoscopic liver resections was undertaken in patients with preoperative diagnoses including benign lesion, hepatocellular carcinoma with compensated cirrhosis, and metastasis of noncolorectal origin. Hepatic involvement had to be limited and located in the left or peripheral right segments (segments 2-6), and the tumor had to be 5 cm or smaller. Surgical technique included CO 2 pneumoperitoneum and liver transection with a harmonic scalpel, with or without portal triad clamping or hepatic vein control. Portal pedicles and large hepatic veins were stapled. Resected specimens were placed in a bag and removed through a separate incision, without fragmentation.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Liver Resections: A Feasibility Study in 30 Patients

Cherqui¹,

Husson²,

Hammoud³

et al. 2000

Annals of Surgery

514

401

View full text Add to dashboard Cite

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“…18-21 and gas embolism. [22][23][24][25] which have mostly been proven not to be major concerns. [26][27][28] However, laparoscopic application to liver surgery was relatively delayed due to the complexity of the operation.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Laparoscopic Left Lateral Sectionectomy vs. Open Left Lateral Sectionectomy: Single Center Experience

Kim

Koh

Cho

et al. 2017

J Minim Invasive Surg

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Purpose: Laparoscopic surgery has become the mainstream surgical operation due to its stability and feasibility. Even for liver surgery, the laparoscopic approach has become an integral procedure. According to the recent international consensus meeting on laparoscopic liver surgery, laparoscopic left lateral sectionectomy (LLS) might be a new standard of care for left lateral surgical lesions. This study was designed to compare open LLS to laparoscopic LLS. Methods: In total, 82 patients who had undergone LLS at Chonnam National University HwasunHospital between 2008 and 2015 were enrolled in this study. Among them, 59 patients underwent open LLS and 23 underwent laparoscopic LLS. These two groups were compared according to general characteristics and operative outcomes. Results:The data analysis results showed that laparoscopic liver resection is superior to open liver resection in terms of the amount of bleeding during the operation and the duration of hospital stay. There was no statistical difference between the two groups in terms of operation time (p value=0.747). The amount of bleeding during the operation was 145.5±149.4 ml on average for the laparoscopic group and 320±243.8 ml on average for the open group (p value=0.005). The mean duration of hospital stay was 10.7±5.8 days for the laparoscopic surgery group and 12.2±5.1 days for the open surgery group (p value=0.003). Conclusion:This study showed that laparoscopic LLS is safe and feasible, because it involves less blood loss and a shorter hospital stay. For left lateral lesions, laparoscopic LLS might be the first option to be considered.

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“…Transperitoneal CO 2 absorption determines higher endtidal CO 2 (EtCO 2 ) 8-10 min after gas insufflation, irrespective of the site and duration of administration; increased minute ventilation maintains PaCO 2 in normal limits in most cases, possibly leading to a further increase in airway pressure (LE 1b) [385,386]. Increased arterial CO 2 content might not be accurately reflected by EtCO 2 , perhaps as a consequence of increased dead space induced by PP.…”

Section: Pathophysiological Changes During Laparoscopymentioning

confidence: 99%

“…A rational approach to overcome the increase in PaCO 2 and acidosis is controlled mechanical hyperventilation (LE 1b) [385]. As a detriment, ventilator-induced lung injury (VILI) is closely related to high-volume/high-pressure mechanical ventilation mode, especially during long procedures; therefore, a reduction in PaCO 2 should be achieved through a greater respiratory rate thus avoiding tidal volume increase.…”

Section: Ventilatory Strategies To Protect the Lungmentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

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Carbon Dioxide Embolism during Laparoscopy

Cited by 125 publications

References 0 publications

Laparoscopic Liver Resections: A Feasibility Study in 30 Patients

Laparoscopic Liver Resections: A Feasibility Study in 30 Patients

Outcomes of Laparoscopic Left Lateral Sectionectomy vs. Open Left Lateral Sectionectomy: Single Center Experience

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