Laparoscopic cholecystectomy in a patient with pneumonectomy
DOI:
https://doi.org/10.18203/2320-6012.ijrms20201365Keywords:
Anaesthesia, Cholecystectomy, Perioperative, Respiratory, SurgeryAbstract
Post pneumonectomy patients pose a challenge to the anaesthetist owing to the altered respiratory mechanics and decreased respiratory reserve. Performing laparoscopic surgery in such patients further deteriorates the already compromised lung functions. Authors report a case of laparoscopic cholecystectomy performed in post pneumonectomy patient. A clear understanding of respiratory mechanics and post pneumonectomy physiological changes helped us to administer a safe anaesthesia and safe perioperative outcome.
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Joris JL. Anesthesia for laparoscopic surgery. In: RD, Miller LA. Eriksson LA. Fleisher et al., eds. Miller’s Anesthesia. Churchill Livingstone, Philadelphia, Pa, USA; 2010: 21-95.
Bardoczky GI, Engelman E, Levarlet M, Simon P. Ventilatory effects of pneumoperitoneum monitored with continuous spirometry. Anaesthesia. 1993 Apr;48(4):309-11.
Veen EJ, Janssen-Heijnen MLG, Ritchie ED, Biesma B, van den Bogart MPH, Bolhuis RJ. Pneumonectomy for bronchogenic carcinoma: analysis of factors predicting short- and long-term outcome. Intera Cardio Thoracic Surg. 2009;9(2):260-4.
Kawaguchi T, Tojo T, Kushibe K, Kimura M, Nagata Y, Taniguchi S. Short- and long-term outcomes after pneumonectomy for primary lung cancer. Annal Thoracic Cardio Surg. 2008;14(5):289-93.
Massard G, Lyons G, Wihlm JM, Fernoux P, Dumont P, Kessler R, et al. Early and long-term results after completion pneumonectomy. Annal Thor Surg. 1995 Jan 1;59(1):196-200.
Vassiliou MP, Rizzoti L, Laopodis V. Non-linear evaluation of respiratory mechanics during laparoscopic cholecystectomy. Hepato gastroenterol. 2003;50(52):934-8.
Kopec SE, Irwin RS, Umali-Torres CB, Balikian JP, Conlan AA. The postpneumonectomy state. Chest. 1998 Oct 1;114(4):1158-84.
Deslauriers J, Ugalde P, Miro S, Deslauriers DR, Ferland S, Bergeron S, et al. Long-term physiological consequences of pneumonectomy. In Seminars in thoracic and cardiovascular surgery 2011 Sep 1;23(3):196-202.
Smulders SA, Smeenk FW, Janssen-Heijnen ML, Postmus PE. Actual and predicted postoperative changes in lung function after pneumonectomy: a retrospective analysis. Chest. 2004 May 1;125(5):1735-41.
Di Sebastiano N, Bonetti L, Boninsegni P etal. Respiratory mechanics and gas exchange in anesthesia for laparoscopic cholecystectomy. Minerva Anesthesiol. 1993 Oct;59(10):487-92.
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