Sezeur Alain, Partensky Christian, Chipponi Jacques, Duron Jean-Jacques
Service de Chirurgie Digestive, Groupe Hospitalier Diaconesses-Croix Saint Simon, Hôpital Pitié-Salpétrière, APHP, Boulevard de l'Hôpital, Paris, France.
Surg Laparosc Endosc Percutan Tech. 2008 Aug;18(4):395-7. doi: 10.1097/SLE.0b013e318172b4fd.
We report the death of a young man during a laparoscopic partial splenectomy performed with an argon plasma coagulator to remove a benign cyst. The report analyzes the very particular mechanism of a gas embolism, which caused death here. This analysis leads us to recommend a close attention on the use of argon coagulators during laparoscopy. The aim of this article is to draw surgeons' attention to the conclusions of a court-ordered expert assessment intended to elucidate the mechanisms responsible for the death of a 20-year-old man during a laparoscopic partial splenectomy performed with an argon plasma coagulator to remove a benign cyst.
我们报告了一名年轻男子在使用氩气刀进行腹腔镜部分脾切除术以切除一个良性囊肿的过程中死亡的病例。本报告分析了导致此处死亡的气体栓塞这一非常特殊的机制。该分析促使我们建议在腹腔镜手术期间密切关注氩气刀的使用。本文的目的是提请外科医生注意一份法庭指定的专家评估的结论，该评估旨在阐明一名20岁男子在使用氩气刀进行腹腔镜部分脾切除术以切除一个良性囊肿的过程中死亡的相关机制。
