Pneumothorax in Pediatric Patients After Urological Laparoscopic Surgery: Experience With 4 Patients

Waterman, Bradley J.; Robinson, Ben C.; Snow, Brent W.; Cartwright, Patrick C.; Hamilton, Blake D.

doi:10.1097/01.ju.0000108139.04768.55

Cited by 19 publications

(8 citation statements)

References 26 publications

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“…The diaphragmatic injury with pneumothorax was the only complication. Waterman and associates 16 have described pneumothorax during urologic laparoscopy. A pneumothorax resulting from diaphragmatic injury was not cited in that series, although it was suggested as a potential cause of pneumothorax during laparoscopy.…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic Renal Surgery in Infants 10 kg or Less

Mulholland

Kropp²,

Wong³

2005

Journal of Endourology

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Section: Discussionmentioning

confidence: 98%

Laparoscopic Renal Surgery in Infants 10 kg or Less

Mulholland

Kropp²,

Wong³

2005

Journal of Endourology

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“…This mechanism was considered to be the most plausible because the pneumothorax occurred on the contralateral side relative to the donor nephrectomy procedure and the pneumomediastinum, and there was no evidence of emphysema or diaphragmatic injuries. Waterman et al categorized the possible etiologies of pneumothorax during laparoscopic urological procedures; based on their study, it is possible for CO 2 gas to dissect into the mediastinum along the aorta, especially given the relatively high insufflation pressures used in this case, or an unrecognized congenital defect in the diaphragm could explain the pneumothorax .…”

Section: Discussionmentioning

confidence: 99%

Contralateral pneumothorax during retroperitoneal laparoscopic donor nephrectomy: A case report

Matsushita

Motoyama

Sugiyama

et al. 2017

Asian J Endoscop Surgery

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This report presents a case of a 46-year-old woman in whom contralateral pneumothorax occurred during retroperitoneal laparoscopic donor nephrectomy without any evidence of diaphragmatic injuries. After the start of carbon dioxide-induced pneumoperitoneum, the patient's end-tidal carbon dioxide pressure and heart rate suddenly increased. The surgery was then paused, and a chest X-ray revealed a right pneumothorax accompanied by pneumomediastinum. After a thoracostomy tube was inserted, these symptoms immediately improved. After conversion to an open procedure, the surgery was completed. The thoracostomy tube was removed the next day, and the patient was discharged without any complications. As the pneumothorax occurred on the opposite side to the operative field and there was no evidence of diaphragmatic injury, it is suspected to have been caused by a pneumomediastinum-induced rupture of the barrier between the mediastinum and pleural space. This may have occurred due to the insufflated carbon dioxide gas passing directly into the mediastinum and then the pleural space.

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“…Aunque raro, se ha publicado esta grave complicación laparoscópica 34 , lo que supone un colapso pulmonar ipsilateral y desplazamiento mediastínico contralateral por la transmisión de la hiperpresión abdominal. Con experiencia, puede controlarse laparoscópicamente con puntos sobre el diafragma, pero es un motivo más que justificado para reconvertir si ello no se consigue.…”

Section: Pneumotóraxunclassified

Nefrectomía radical laparoscópica

et al. 2006

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RESUMENNEFRECTOMÍA RADICAL LAPAROSCÓPICA Revisamos en este artículo los distintas abordajes quirúrgicos para realizar una nefrectomía radical laparoscópica, la vía transperitoneal, la retroperitoneal, así como la mano-asistida.Describimos las ventajas e inconvenientes de cada una de estas alternativas así como resumimos los citas bibliográficas más importantes en la literatura médica con respecto a las mismas.A pesar de que es una cirugía con una corta existencia, menos de 15 años, ha conseguido convertirse en un estándar de tratamiento y hoy puede considerarse en muchos centros como la cirugía de elección en tumores de riñón T1 y T2.Palabras clave: Laparoscopia. Nefrectomía radical. ABSTRACT RADICAL LAPAROSCOPIC NEPHRECTOMYIn this article, we review the different surgical approaches to carry out radical laparoscopic nephrectomy: transperitoneal approach, retroperitoneal approach and hand-assisted approach. We describe the advantages and drawbacks of each alternative and summarize the most important references in the medical literature. In spite of this being a relatively new surgical approach, less than 15 years old, it has become a standard treatment and, today, is considered as the elective surgical treatment for T1 and T2 renal tumours in many centres.

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Pneumothorax in Pediatric Patients After Urological Laparoscopic Surgery: Experience With 4 Patients

Abstract: Urologists performing laparoscopy in children should be aware of the possibility of a pneumothorax developing during the procedure. Evaluation for decrease in O2 saturation should include a search for pneumothorax in these patients. Close observation generally suffices for management.

Cited by 19 publications

References 26 publications

Laparoscopic Renal Surgery in Infants 10 kg or Less

Laparoscopic Renal Surgery in Infants 10 kg or Less

Contralateral pneumothorax during retroperitoneal laparoscopic donor nephrectomy: A case report

Nefrectomía radical laparoscópica

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