Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations
Increasing numbers of patients require cholecystectomy after previous pneumonectomy, but there are little data to guide anaesthetic management. A laparoscopic approach is associated with less postoperative respiratory compromise than open cholecystectomy but may be relatively contraindicated due to...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2014/582078 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563914591698944 |
|---|---|
| author | Dash Faith Newington Sanaa Ismail |
| author_facet | Dash Faith Newington Sanaa Ismail |
| author_sort | Dash Faith Newington |
| collection | DOAJ |
| description | Increasing numbers of patients require cholecystectomy after previous pneumonectomy, but there are little data to guide anaesthetic management. A laparoscopic approach is associated with less postoperative respiratory compromise than open cholecystectomy but may be relatively contraindicated due to the undesirable effects of pneumoperitoneum on respiratory function. We describe the case of a 72-year-old patient who successfully underwent elective laparoscopic cholecystectomy 23 years after left pneumonectomy. An understanding of the combined physiological consequences of pneumonectomy and pneumoperitoneum facilitated the provision of safe and uneventful anaesthesia. We propose that laparoscopic cholecystectomy is feasible and safe to perform in patients with a single lung. |
| format | Article |
| id | doaj-art-68aac10fcf4d4e769a3293b0437617d3 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-68aac10fcf4d4e769a3293b0437617d32025-02-03T01:12:19ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/582078582078Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic ConsiderationsDash Faith Newington0Sanaa Ismail1Department of Anaesthesia, Launceston General Hospital, Charles Street, Launceston, TAS 7250, AustraliaDepartment of Anaesthesia, Dubbo Base Hospital, Myall Street, Dubbo, NSW 2830, AustraliaIncreasing numbers of patients require cholecystectomy after previous pneumonectomy, but there are little data to guide anaesthetic management. A laparoscopic approach is associated with less postoperative respiratory compromise than open cholecystectomy but may be relatively contraindicated due to the undesirable effects of pneumoperitoneum on respiratory function. We describe the case of a 72-year-old patient who successfully underwent elective laparoscopic cholecystectomy 23 years after left pneumonectomy. An understanding of the combined physiological consequences of pneumonectomy and pneumoperitoneum facilitated the provision of safe and uneventful anaesthesia. We propose that laparoscopic cholecystectomy is feasible and safe to perform in patients with a single lung.http://dx.doi.org/10.1155/2014/582078 |
| spellingShingle | Dash Faith Newington Sanaa Ismail Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations Case Reports in Anesthesiology |
| title | Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations |
| title_full | Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations |
| title_fullStr | Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations |
| title_full_unstemmed | Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations |
| title_short | Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations |
| title_sort | laparoscopic cholecystectomy in a patient with previous pneumonectomy a case report and discussion of anaesthetic considerations |
| url | http://dx.doi.org/10.1155/2014/582078 |
| work_keys_str_mv | AT dashfaithnewington laparoscopiccholecystectomyinapatientwithpreviouspneumonectomyacasereportanddiscussionofanaestheticconsiderations AT sanaaismail laparoscopiccholecystectomyinapatientwithpreviouspneumonectomyacasereportanddiscussionofanaestheticconsiderations |