Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report
We report here a case of reexpansion pulmonary edema following laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer. A 57-year-old Japanese woman with no preoperative comorbidity was diagnosed with early gastric cancer. The patient underwent LADG using the pneumoperitoneum method....
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2012/863163 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832549365474918400 |
|---|---|
| author | Kazuhito Yajima Tatsuo Kanda Ryo Tanaka Yu Sato Takashi Ishikawa Shin-ichi Kosugi Tadayuki Honda Katsuyoshi Hatakeyama |
| author_facet | Kazuhito Yajima Tatsuo Kanda Ryo Tanaka Yu Sato Takashi Ishikawa Shin-ichi Kosugi Tadayuki Honda Katsuyoshi Hatakeyama |
| author_sort | Kazuhito Yajima |
| collection | DOAJ |
| description | We report here a case of reexpansion pulmonary edema following laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer. A 57-year-old Japanese woman with no preoperative comorbidity was diagnosed with early gastric cancer. The patient underwent LADG using the pneumoperitoneum method. During surgery, the patient was unintentionally subjected to single-lung ventilation for approximately 247 minutes due to intratracheal tube dislocation. One hour after surgery, she developed severe dyspnea and produced a large amount of pink frothy sputum. Chest radiography results showed diffuse ground-glass attenuation and alveolar consolidation in both lungs without cardiomegaly. A diagnosis of pulmonary edema was made, and the patient was immediately intubated and received ventilatory support with high positive end-expiratory pressure. The patient gradually recovered and was weaned from the ventilatory support on the third postoperative day. This case shows that single-lung ventilation may be a risk factor for reexpansion pulmonary edema during laparoscopic surgery with pneumoperitoneum. |
| format | Article |
| id | doaj-art-3308d6c4504b4ffdb0ccf494d7808785 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-3308d6c4504b4ffdb0ccf494d78087852025-02-03T06:11:28ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/863163863163Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case ReportKazuhito Yajima0Tatsuo Kanda1Ryo Tanaka2Yu Sato3Takashi Ishikawa4Shin-ichi Kosugi5Tadayuki Honda6Katsuyoshi Hatakeyama7Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanAdvanced Disaster Medical and Emergency Critical Care Center, Niigata University Medical and Dental Hospital, 1-754 Asahimachi-dori, Niigata 951-8520, JapanDivision of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-757 Asahimachi-dori, Niigata 951-8510, JapanWe report here a case of reexpansion pulmonary edema following laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer. A 57-year-old Japanese woman with no preoperative comorbidity was diagnosed with early gastric cancer. The patient underwent LADG using the pneumoperitoneum method. During surgery, the patient was unintentionally subjected to single-lung ventilation for approximately 247 minutes due to intratracheal tube dislocation. One hour after surgery, she developed severe dyspnea and produced a large amount of pink frothy sputum. Chest radiography results showed diffuse ground-glass attenuation and alveolar consolidation in both lungs without cardiomegaly. A diagnosis of pulmonary edema was made, and the patient was immediately intubated and received ventilatory support with high positive end-expiratory pressure. The patient gradually recovered and was weaned from the ventilatory support on the third postoperative day. This case shows that single-lung ventilation may be a risk factor for reexpansion pulmonary edema during laparoscopic surgery with pneumoperitoneum.http://dx.doi.org/10.1155/2012/863163 |
| spellingShingle | Kazuhito Yajima Tatsuo Kanda Ryo Tanaka Yu Sato Takashi Ishikawa Shin-ichi Kosugi Tadayuki Honda Katsuyoshi Hatakeyama Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report Case Reports in Surgery |
| title | Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report |
| title_full | Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report |
| title_fullStr | Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report |
| title_full_unstemmed | Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report |
| title_short | Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report |
| title_sort | reexpansion pulmonary edema following laparoscopy assisted distal gastrectomy for a patient with early gastric cancer a case report |
| url | http://dx.doi.org/10.1155/2012/863163 |
| work_keys_str_mv | AT kazuhitoyajima reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT tatsuokanda reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT ryotanaka reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT yusato reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT takashiishikawa reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT shinichikosugi reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT tadayukihonda reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport AT katsuyoshihatakeyama reexpansionpulmonaryedemafollowinglaparoscopyassisteddistalgastrectomyforapatientwithearlygastriccanceracasereport |