Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report. (28th November 2012)

• Record Type: Journal Article
• Authors: Yajima, Kazuhito; Kanda, Tatsuo; Tanaka, Ryo; Sato, Yu; Ishikawa, Takashi; Kosugi, Shin-ichi; Honda, Tadayuki; Hatakeyama, Katsuyoshi
• Other Names: Rallis G. Academic Editor.; Rangarajan M. Academic Editor.; Schmitz C. Academic Editor.
• Is Part Of: Case reports in surgery. Volume 2012(2012)
• Publication Date: 2012-11-28
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; Surgical Procedures, Operative; General Surgery; Surgery; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617
• DOI: 10.1155/2012/863163
• Languages: English
• ISSNs: 2090-6900

Abstract

Abstract : We report here a case of reexpansion pulmonary edema following laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer. A 57-year-old Japanese woman with no preoperative comorbidity was diagnosed with early gastric cancer. The patient underwent LADG using the pneumoperitoneum method. During surgery, the patient was unintentionally subjected to single-lung ventilation for approximately 247 minutes due to intratracheal tube dislocation. One hour after surgery, she developed severe dyspnea and produced a large amount of pink frothy sputum. Chest radiography results showed diffuse ground-glass attenuation and alveolar consolidation in both lungs without cardiomegaly. A diagnosis of pulmonary edema was made, and the patient was immediately intubated and received ventilatory support with high positive end-expiratory pressure. The patient gradually recovered and was weaned from the ventilatory support on the third postoperative day. This case shows that single-lung ventilation may be a risk factor for reexpansion pulmonary edema during laparoscopic surgery with pneumoperitoneum.