Tension Subcutaneous Emphysema during Laparoscopic Surgery Treatment of Colon Cancer: A Case Report

Chea, Jun Seuk; Chae, S. M.; Moon, Seok Whan

doi:10.1055/s-0032-1322616

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…There are case reports of deaths due to SCE as a result of precipitant ventilatory failure [10][11][12] while it has been associated with patient deterioration and death by others [13]. It is not possible to estimate mortality rates from SCE given the selective nature of case reports but, it is not insignificant.…”

Section: Morbidity and Mortalitymentioning

confidence: 99%

The Management of Subcutaneous Emphysema in Pneumothorax: A Literature Review

Melhorn

Davies

2021

Curr Pulmonol Rep

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Purpose of Review Subcutaneous emphysema is often observed by clinicians in the context of pneumothorax. It is usually clinically insignificant, but in a few cases can progress to threaten the patient’s vision or airway. A variety of approaches to management of such cases are described in the literature. There no controlled trials and no guidelines on management, other than that the cause should be identified and treated wherever possible. The goal of this article is to review the described approaches to subcutaneous emphysema in pneumothorax and provide a reference to the clinician. Summary Treatment can be directed primarily towards treating an underlying pneumothorax and / or towards the subcutaneous emphysema. These are not mutually exclusive approaches. Management of the underlying pneumothorax includes conservative management; use of negative suction; siting of wider bore intercostal drains and definitive surgical management. Management of subcutaneous emphysema may include decompression techniques such as: ‘blow hole’ incisions or subcutaneous angio-catheters or tunnelled drains. In the current absence of controlled trials is not possible to comment on the efficacy of these techniques: no recommendations on management of subcutaneous emphysema in pneumothorax can be made. Management will be significantly influenced by local technical expertise and patient factors for the foreseeable future.

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Section: Morbidity and Mortalitymentioning

confidence: 99%

The Management of Subcutaneous Emphysema in Pneumothorax: A Literature Review

Melhorn

Davies

2021

Curr Pulmonol Rep

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“…It develops secondary to blunt or penetrating trauma to the chest, abdomen, neck, and sinus cavity, as well as following gastrointestinal perforation and barotrauma. In addition, some case reports have described subcutaneous emphysema after dental procedures [ 9 ], tonsillectomies [ 10 ], and laparoscopic surgery [ 11 ]. In our case, the patient developed subcutaneous emphysema following spontaneous esophageal rupture, also known as Boerhaave syndrome.…”

Section: Discussionmentioning

confidence: 99%

Acute Upper Airway Obstruction Due to Massive Cervical Subcutaneous Emphysema: A Case Report

Hammoud¹,

Emam²,

Mohamed³

et al. 2023

Cureus

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With upper airway obstruction being an emergency, a high index of suspicion and proper and timely treatment planning are crucial to the patient's life. Spontaneous esophageal perforation, also known as Boerhaave syndrome, has been observed to cause subcutaneous emphysema; however, airway compromise secondary to subcutaneous emphysema is extremely rare when there is no associated broncho-tracheal injury. Here, we present a case of esophageal perforation complicated with cervical emphysema that led to acute airway obstruction requiring invasive ventilation.

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“…It is not uncommon for CO2 to pass spontaneously into the subcutaneous tissue, and later into the bloodstream causing hypercapnia. During laparoscopic surgery, hypercapnia can cause acidosis, arrhythmia, hypotension, myocardial ischemia, and cardiocirculatory arrest [56] and even acute respiratory failure despite endotracheal intubation [57].…”

Section: Possible Complications In Laparoscopic Surgerymentioning

confidence: 99%

Role of Minimally Invasive Surgery in Colon Cancer

Todosi¹,

Gavrilescu²,

Scripcariu³

2014

Surgery

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Colon cancer is a major public health problem. The treatment of colon cancer is primarily surgical using open and minimally invasive techniques. Minimally invasive surgery approaches for colon cancer include single-port laparoscopy, natural orifice transluminal endoscopic surgery, and robotic-assisted laparoscopic surgery. The techniques are based on the same principles: complete mesocolic excision, high vascular ligation, and extended lymphadenectomy. Laparoscopic surgery is characterized by short hospital stay, reduced postoperative pain, and less need for painkillers. Laparoscopic resections are less expensive than open surgery, but with similar quality of life outcomes. Robotic surgery is an alternative to open and laparoscopic techniques. This type of surgery results in a lower conversion rate and a shorter learning curve than laparoscopic surgery. When comparing the clinical outcomes of laparoscopic surgery versus open surgery no difference in disease free survival and overall survival were found. This article shows the role of minimally invasive surgery in colon cancer, the clinical outcomes of laparoscopic and open colon being similar.

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Tension Subcutaneous Emphysema during Laparoscopic Surgery Treatment of Colon Cancer: A Case Report

Cited by 5 publications

References 4 publications

The Management of Subcutaneous Emphysema in Pneumothorax: A Literature Review

The Management of Subcutaneous Emphysema in Pneumothorax: A Literature Review

Acute Upper Airway Obstruction Due to Massive Cervical Subcutaneous Emphysema: A Case Report

Role of Minimally Invasive Surgery in Colon Cancer

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