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- Title
Persistent bilateral pneumothorax after robotic-assisted inguinal hernia repair: possible relevance to recent esophageal cancer surgery — a case report.
- Authors
Ishikawa, Seiji; Shirakawa, Kaori; Kuroda, Yui; Yube, Yukinori; Mine, Shinji; Hayashida, Masakazu; Kawagoe, Izumi
- Abstract
Background: Postoperative 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 presentation: A 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. Conclusions: Laparoscopic surgery after radical esophagectomy may be associated with an increased risk of postoperative pneumothorax.
- Subjects
HERNIA surgery; PNEUMOTHORAX; INGUINAL hernia; ESOPHAGEAL cancer; ONCOLOGIC surgery; LAPAROSCOPIC surgery; RECTAL surgery
- Publication
JA Clinical Reports, 2023, Vol 9, Issue 1, p1
- ISSN
2363-9024
- Publication type
Case Study
- DOI
10.1186/s40981-023-00630-y