内镜下静脉采集过程中二氧化碳充气的并发症。

Complications of CO insufflation during endoscopic vein harvesting.

作者信息

Suarez-Pierre Alejandro, Terasaki Yusuke, Magruder J Trent, Kapoor Anubhav, Grant Michael C, Lawton Jennifer S

机构信息

Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

J Card Surg. 2017 Dec;32(12):783-789. doi: 10.1111/jocs.13249. Epub 2017 Nov 23.

DOI:10.1111/jocs.13249

PMID:29169212

Abstract

Over the past few decades, the use of endoscopic harvest of the saphenous vein has gained popularity due to a significant reduction in rates of wound infection and improved cosmesis. The widespread adoption of this technique has introduced a set of complications associated with the use CO insufflation which facilitates exposure during the vein harvest. We describe a case of pneumoperitoneum with systemic acidosis and subcutaneous air following endoscopic vein harvest for coronary artery bypass grafting and review the complications that may arise from CO insufflation during endoscopic vein harvesting.

摘要

在过去几十年中，由于伤口感染率显著降低且美容效果改善，内镜下采集大隐静脉的方法越来越受欢迎。这项技术的广泛应用带来了一系列与使用二氧化碳气腹相关的并发症，气腹有助于在采集静脉时暴露手术视野。我们描述了一例在冠状动脉旁路移植术内镜下静脉采集后发生气腹伴全身酸中毒和皮下气肿的病例，并回顾了内镜下静脉采集过程中二氧化碳气腹可能引发的并发症。