A CASE OF PULMONARY EMBOLISM FOLLOWING LAPAROSCOPIC CHOLECYSTECTOMY
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- KINOSHITA Takahiro
- Department of Surgery, Yokohama Sakae Kyosai Hospital
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- SATOH Hirofumi
- Department of Surgery, Yokohama Sakae Kyosai Hospital
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- YAMAWAKI Masaru
- Department of Surgery, Yokohama Sakae Kyosai Hospital
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- KAMIBAYASHI Seisaku
- Department of Surgery, Yokohama Sakae Kyosai Hospital
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- KOJIMA Michihisa
- Department of Surgery, Yokohama Sakae Kyosai Hospital
Bibliographic Information
- Other Title
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- 腹腔鏡下胆嚢摘出術術後に発症した肺塞栓症の1例
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Abstract
We experienced a case of pulmonary embolism following laparoscopic cholecystectomy probably due to pneumoperitonum. A 46-year-old woman, who had a laparoscopic cholecystectomy, began complaining of dyspnea about 24 hours after the operation. Blood gas analysis revealed severe hypoxemia with PaO2 level of 47.6mmHg. These physical signs and clinical data were indicative of pulmonary embolism, so anticoagulant therapy with 10, 000unit/day of heparin was initiated. Pulmonary sintigram at the onset demonstrated segmental perfusion defect of Lt. S8 and Rt. S10. After the initiation of the therapy her condition improved markedly.<br> A suspecion has been aroused that pneumoperitonum may induse deep vein thrombosis causing pulmonary embolism since the introduction of laparoscopic cholecystectomy. For this disease, early detection and early treatment are determinative factors for prognosis. So it should be considered as one of the most critical complications after laparoscopic surgery and cautious strategy for prevention is important in high-risk cases.
Journal
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- The journal of the Japanese Practical Surgeon Society
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The journal of the Japanese Practical Surgeon Society 58 (2), 350-353, 1997
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001205314619520
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- NII Article ID
- 130003600369
- 10008526792
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- NII Book ID
- AN00198696
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- ISSN
- 21892075
- 03869776
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed