Persistent bilateral pneumothorax after robotic-assisted inguinal hernia repair: possible relevance to recent esophageal cancer surgery — a case report

JA Clinical Reports

Case Report

Kaori Shirakawa¹  Masakazu Hayashida²  Izumi Kawagoe²  Seiji Ishikawa²  Yui Kuroda²  Shinji Mine³  Yukinori Yube³ 

[1] Clinical Training Center, Juntendo University Hospital, 3-1-3, Hongo, Bunkyo-Ku, 113-8431, Tokyo, Japan;Department of Anesthesiology and Pain Medicine, Faculty of Medicine, Juntendo University, 2-1-1, Hongo, Bunkyo-Ku, 113-8421, Tokyo, Japan;Department of Esophageal and Gastroenterological Surgery, Faculty of Medicine, Juntendo University, 2-1-1, Hongo, Bunkyo-Ku, 113-8421, Tokyo, Japan;

关键词: Pneumothorax;    Robot-assisted inguinal hernia surgery;    Esophagectomy;    Postoperative complication;    Case report;   

DOI  :  10.1186/s40981-023-00630-y

 received in 2023-05-06, accepted in 2023-06-12,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundPostoperative pneumothorax is a well-known but relatively rare complication after laparoscopic surgery. There has been no report describing pneumothorax that persisted for a week or more after laparoscopic surgery. Herein, we report a case of bilateral pneumothorax after laparoscopic surgery, which appears to have occurred by a different mechanism than previously described.Case presentationA 65-year-old male, with a past history of esophagectomy and retrosternal gastric tube reconstruction 4 months earlier, underwent a robotic-assisted inguinal hernia repair. Postoperative chest x-rays revealed the development of bilateral pneumothorax, which became worse on postoperative day (POD) 1 and took more than 9 days to resolve spontaneously. We assumed that intra-abdominal gas replaced by the air after pneumoperitoneum might have migrated into thoracic cavities through an opened esophageal hiatus or along the retrosternal route.ConclusionsLaparoscopic surgery after radical esophagectomy may be associated with an increased risk of postoperative pneumothorax.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 2

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