Kim Yun Hee, Yoon Seung Zhoo, Lim Choon Hak, Park Ji Yong, Lee Hye Won
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University Anam Hospital, Seoul, Korea.
Korean J Anesthesiol. 2009 Dec;57(6):765-767. doi: 10.4097/kjae.2009.57.6.765.
The occurrence of a pneumothorax during laparoscopy-assisted distal gastrectomy (LADG) is rare. A pneumothorax was developed during a LADG under general anesthesia in a 67-year-old woman with gastric cancer. About 140 minutes after CO2 insufflation, sudden hemodynamic collapse occurred. A defect was noted in the diaphragm. After immediate repair under laparoscopy, hemodynamic stability was achieved within several minutes. In the anesthetic management of a LADG, the anesthesia provider should be aware of the possible occurrence of a pneumothorax.
腹腔镜辅助远端胃切除术（LADG）期间发生气胸的情况较为罕见。一名67岁的胃癌女性在全身麻醉下进行LADG手术时发生了气胸。在二氧化碳气腹约140分钟后，突然出现血流动力学崩溃。发现膈肌有一处缺损。在腹腔镜下立即进行修复后，数分钟内实现了血流动力学稳定。在LADG的麻醉管理中，麻醉医生应意识到可能发生气胸。
