Department of Anesthesia, Kasukabe-chuo General Hospital, Midori-cho 5-9-4, Kasukabe, Saitama, 344-0063, Japan.
J Anesth. 2011 Jun;25(3):426-30. doi: 10.1007/s00540-011-1120-9. Epub 2011 Mar 22.
We report a case of a patient treated by retroperitoneoscopic partial nephrectomy who developed nitrogenous subcutaneous emphysema (SCE) as a complication. The use of a nitrogen gas-pressured fibrin tissue adhesive applied as a spray caused excessively increased pressure in the closed retroperitoneal space and resulted in widespread SCE with protracted clinical course. To the best of our knowledge, this is the first report of nitrogenous SCE associated with pneumoperitoneum. The clinical significance of nitrogenous SCE is emphasized, and the risks associated with the use of fibrin glue as a spray during laparoscopic surgery are discussed.
我们报告了一例接受后腹腔镜部分肾切除术治疗的患者，术后发生氮性皮下气肿（SCE）并发症。使用喷雾型氮气压纤维蛋白组织粘合剂导致封闭的腹膜后间隙压力过高，引起广泛的 SCE，并导致病程延长。据我们所知，这是首例与气腹相关的氮性 SCE 报告。我们强调了氮性 SCE 的临床意义，并讨论了在腹腔镜手术中使用喷雾型纤维蛋白胶相关的风险。
