Case report: conservative management of a large capnothorax following laparoscopic renal surgery

Journal of Endourology
Lambda P MsezaneArieh L Shalhav

Abstract

As indications for laparoscopy surgery continue to grow for management of upper urinary tract pathology, knowledge of the potential complications that may be encountered and their respective management are essential. Pneumothorax during laparoscopic renal surgery is typically related to a diaphragmatic injury that allows pressurized CO(2) to enter the thoracic cavity. The placement of a chest tube is usually required for large defects and symptomatic patients. However, in selected patients, with understanding of the favorable absorptive properties of CO(2), conservative management may be elected. We report a case of an asymptomatic, large pneumothorax that was allowed to resolve spontaneously, thus reinforcing the notion of noninvasive capnothorax management incurred during laparoscopic renal surgery.

References

May 1, 1996·American Journal of Surgery·D R MarcusL L Swanstrom
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Jun 4, 2002·Surgical Endoscopy·T TogalO Ersoy
Jun 6, 2002·Clinical Obstetrics and Gynecology·Javier F Magrina
Sep 5, 2002·Journal of Clinical Anesthesia·Ruben J AzocarMohammed Hassan
Dec 10, 2002·Journal of Endourology·Joseph J Del PizzoR Ernest Sosa
May 4, 2005·Journal of Endourology·Gary W ChienArieh L Shalhav
Sep 19, 2006·Urology·Arieh L ShalhavKevin C Zorn
Jan 16, 2007·The Journal of Urology·Sompol PermpongkosolLouis R Kavoussi

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Citations

Nov 12, 2015·International Journal of Critical Illness and Injury Science·Tammy KindelStanislaw P Stawicki
Oct 1, 2019·Thoracic Surgery Clinics·Taryne A Imai, Harmik J Soukiasian

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