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KMID : 0356920090570060765
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Korean Journal of Anesthesiology
2009 Volume.57 No. 6 p.765 ~ p.767
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Occurrence of iatrogenic pneumothorax during laparoscopy-assisted distal gastrectomy
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Kim Yun-Hee
Yoon Seung-Zhoo
Park Ji-Yong
Lee Hye-Won
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Abstract
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The occurrence of a pneumothorax during laparoscopy-assisted distal gastrectomy (LADG) is rare. A pneumothorax was developed during a LADG under general anesthesia in a 67-year-old woman with gastric cancer. About 140 minutes after CO2 insufflation, sudden hemodynamic collapse occurred. A defect was noted in the diaphragm. After immediate repair under laparoscopy, hemodynamic stability was achieved within several minutes. In the anesthetic management of a LADG, the anesthesia provider should be aware of the possible occurrence of a pneumothorax.
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KEYWORD
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Iatrogenic diaphragmatic injury, Laparoscopy-assisted distal gastrectomy (LADG), Pneumothorax
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