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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2010;5(1):64-66.
Published online January 30, 2010.
Pneumothorax occurring during laparoscopic anterior resection of sigmoid colon cancer: A case report
Yong Kyung Lee, Young Keun Chae, Jae Kun Park, Young Soon Choi, Aerena Lee, Jin Hye Min, Young Ho Kim, Woo Kyung Lee
1Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine, Goyang, Korea.
2Department of General Surgery, Kwandong University College of Medicine, Goyang, Korea.
Pneumothorax during laparoscopic surgery is a potentially fatal complication.We present a case of left-sided pneumothorax complicating laparoscopic anterior resection of the sigmoid colon cancer.After signs suggestive of pneumothorax were recognized during carbon dioxide pneumoperitoneum, chest X-ray confirmed the diagnosis.Oxygen saturation and vital signs were maintained by increasing the inspired oxygen fraction and deflating the pneumoperitoneum.The pneumothorax resolved spontaneously after surgery and there were no complications.This case shows the importance of vigilance on the part of the anesthesiologist during laparoscopic surgery.
Key Words: Carbon dioxide, Laparoscopy, Pneumoperitoneum, Pneumothorax

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