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Korean J Anesthesiol > Volume 57(6); 2009 > Article
Korean Journal of Anesthesiology 2009;57(6):765-767.
DOI: https://doi.org/10.4097/kjae.2009.57.6.765   
Occurrence of iatrogenic pneumothorax during laparoscopy-assisted distal gastrectomy: A case report.
Yun Hee Kim, Seung Zhoo Yoon, Choon Hak Lim, Ji Yong Park, Hye Won Lee
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Korea. monday1031@yahoo.co.kr
Abstract
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.
Key Words: Iatrogenic diaphragmatic injury; Laparoscopy-assisted distal gastrectomy (LADG); Pneumothorax
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