Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy

A 67-year-old man underwent RARP in the Trendelenburg position with pneumoperitoneum at 12 mmHg. Gradual elevation of End-tidal CO2(EtCO2) began, and extensive subcutaneous emphysema was recognized when EtCO2 reached 58 mmHg. After interruption of pneumoperitoneum, careful observation of the surgica...

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Detalles Bibliográficos
Autores principales: Fukui, Shinji, Kagebayashi, Yoriaki, Iemura, Yusuke, Matsumura, Yoshiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Inflammation and Infection
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551592/
https://www.ncbi.nlm.nih.gov/pubmed/34745898
http://dx.doi.org/10.1016/j.eucr.2021.101904
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author Fukui, Shinji
Kagebayashi, Yoriaki
Iemura, Yusuke
Matsumura, Yoshiaki
author_facet Fukui, Shinji
Kagebayashi, Yoriaki
Iemura, Yusuke
Matsumura, Yoshiaki
author_sort Fukui, Shinji
collection PubMed
description A 67-year-old man underwent RARP in the Trendelenburg position with pneumoperitoneum at 12 mmHg. Gradual elevation of End-tidal CO2(EtCO2) began, and extensive subcutaneous emphysema was recognized when EtCO2 reached 58 mmHg. After interruption of pneumoperitoneum, careful observation of the surgical field led to detect an injury of the abdominal wall of 1 cm in length, suggesting the cause of severe subcutaneous emphysema. The injury was repaired and RARP was terminated without any cardiovascular problems. Attention should be paid that even minor abdominal wall injury could lead to severe subcutaneous emphysema which may cause respiratory or cardiovascular problems during laparoscopic surgeries.
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spelling pubmed-85515922021-11-04 Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy Fukui, Shinji Kagebayashi, Yoriaki Iemura, Yusuke Matsumura, Yoshiaki Urol Case Rep Inflammation and Infection A 67-year-old man underwent RARP in the Trendelenburg position with pneumoperitoneum at 12 mmHg. Gradual elevation of End-tidal CO2(EtCO2) began, and extensive subcutaneous emphysema was recognized when EtCO2 reached 58 mmHg. After interruption of pneumoperitoneum, careful observation of the surgical field led to detect an injury of the abdominal wall of 1 cm in length, suggesting the cause of severe subcutaneous emphysema. The injury was repaired and RARP was terminated without any cardiovascular problems. Attention should be paid that even minor abdominal wall injury could lead to severe subcutaneous emphysema which may cause respiratory or cardiovascular problems during laparoscopic surgeries. Elsevier 2021-10-19 /pmc/articles/PMC8551592/ /pubmed/34745898 http://dx.doi.org/10.1016/j.eucr.2021.101904 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Inflammation and Infection
Fukui, Shinji
Kagebayashi, Yoriaki
Iemura, Yusuke
Matsumura, Yoshiaki
Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
title Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
title_full Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
title_fullStr Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
title_full_unstemmed Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
title_short Severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
title_sort severe subcutaneous emphysema caused by small injury to the abdominal wall during robot-assisted laparoscopic radical prostatectomy
topic Inflammation and Infection
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551592/
https://www.ncbi.nlm.nih.gov/pubmed/34745898
http://dx.doi.org/10.1016/j.eucr.2021.101904
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