Postoperative Pulmonary Complications Following Laparoscopy

Use of intraoperative ultrasonography for identification and management of pneumothorax caused by iatrogenic diaphragm defect: a case report and literature review

“…Chest ultrasonography is readily available and considered to be almost as accurate as computed tomography. 13,16 In cases such as that described herein, bedside ultrasonography is the best substitute for radiography during the operation. The M-mode can display a sign resembling a seashore because of the sliding pleura.…”

“…Pneumothorax is a recognized complication of laparoscopic surgery. 3,8–14 The incidence ranged from 6.0% to 15.2% in the 1990s and decreased to 0.1% to 2.0% with improvements in laparoscopic techniques. 3,5,13 The potential causes of intraoperative pneumothorax can be divided into two categories: congenital defects and iatrogenic factors.…”

“…3,8–14 The incidence ranged from 6.0% to 15.2% in the 1990s and decreased to 0.1% to 2.0% with improvements in laparoscopic techniques. 3,5,13 The potential causes of intraoperative pneumothorax can be divided into two categories: congenital defects and iatrogenic factors. Iatrogenic causes include direct injury to the diaphragm, rupture of emphysematous bullae, and central venous puncture and catheterization.…”

Laparoscopic Single Figure of Eight Suturing Omentopexy for the Treatment of a Perforated Duodenal Ulcer

“… 20 Spontaneous pneumothorax might not be related to surgery, but prolonged operation time and increased intra-abdominal pressure are possible contributing factors. 21 Early diagnosis of postoperative pneumothorax using chest X-ray and prompt management, including supportive treatment with O 2 administration at a high flow rate and chest tube insertion if necessary, are critical. In the present study, there were no cases of leakage at the repair site or abdominal septic complication following laparoscopic single figure of eight suturing omentopexy.…”

Intraoperative transthoracic ultrasound in the differential diagnosis of small hepatectomy-induced pneumothorax

“…A study by Murdock et al showed that the incidence of pneumothorax/mediastinal emphysema was 1.9% in 968 patients undergoing laparoscopic surgery 4 . The past decade has witnessed signi cant scienti c achievements, which have led to improvement in laparoscopic technology, resulting in a signi cantly decreased incidence of pneumothorax 5 . indeed, open surgery does not involve carbon dioxide insu ation, but iatrogenic factors such as surgical operation and mechanical ventilation can cause pneumothorax.…”