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A case of carbon dioxide embolism during the transperineal approach in total pelvic exenteration for advanced anorectal cancer.
- Source :
-
Asian journal of endoscopic surgery [Asian J Endosc Surg] 2021 Jan; Vol. 14 (1), pp. 97-101. Date of Electronic Publication: 2020 Aug 12. - Publication Year :
- 2021
-
Abstract
- The transanal and transperineal endoscopic approaches are useful advanced surgical options for removing rectal and anorectal cancers. Intraoperative carbon dioxide (CO <subscript>2</subscript> ) embolisms, however, have been increasingly reported as potentially fatal complications associated with surgery employing these approaches. We report our experience with a CO <subscript>2</subscript> embolism that was detected because of a sudden drop in end-tidal CO <subscript>2</subscript> with decreasing saturation of percutaneous arterial oxygen during total pelvic exenteration using the transperineal endoscopic approach under pneumopelvis/pneumoperitoneum. Transesophageal echocardiography confirmed that it was a CO <subscript>2</subscript> embolus. We reversed the pneumopelvis and pneumoperitoneum, which alleviated the cardiopulmonary problems, and the surgery then proceeded to achieve R0 resection. The patient was discharged without severe complications other than the CO <subscript>2</subscript> embolism.<br /> (© 2020 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.)
Details
- Language :
- English
- ISSN :
- 1758-5910
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Asian journal of endoscopic surgery
- Publication Type :
- Report
- Accession number :
- 32790015
- Full Text :
- https://doi.org/10.1111/ases.12832