Death during laparoscopy: can 1 gas push out another? Danger of argon electrocoagulation

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Alain SezeurJean-Jacques Duron

Abstract

We report the death of a young man during a laparoscopic partial splenectomy performed with an argon plasma coagulator to remove a benign cyst. The report analyzes the very particular mechanism of a gas embolism, which caused death here. This analysis leads us to recommend a close attention on the use of argon coagulators during laparoscopy. The aim of this article is to draw surgeons' attention to the conclusions of a court-ordered expert assessment intended to elucidate the mechanisms responsible for the death of a 20-year-old man during a laparoscopic partial splenectomy performed with an argon plasma coagulator to remove a benign cyst.

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Citations

Apr 24, 2013·Surgical Endoscopy·Ganesh SankaranarayananSuvranu De
Jan 13, 2010·Journal of Endourology·Takaaki InoueTadashi Matsuda
Oct 7, 2009·Annals of Surgery·Ibrahim DagherJoseph F Buell
Nov 14, 2015·ANZ Journal of Surgery·Kean Guan KuanGuy Maddern

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