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首页> 外文期刊>The Open Anesthesia Journal >Unilateral Periorbital and Cervical Subcutaneous Emphysema Following Extraperitoneal Laparoscopic Radical Prostatectomy
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Unilateral Periorbital and Cervical Subcutaneous Emphysema Following Extraperitoneal Laparoscopic Radical Prostatectomy

机译：腹腔镜腹腔镜根治性前列腺切除术后单侧眼周和宫颈皮下气肿

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摘要

A patient undergoing laparoscopic radical prostatectomy developed unilateral periorbital edema and cervicalsubcutaneous emphysema following carbon dioxide insufflation into the retropubic and retroperitoneal space. He hadhypercarbia and acidosis during and after the end of the case and he required hyperventilation in the recovery room fortwo hours before the hypercarbia subsided and the arterial blood gases returned to normal levels. Despite massive surgicalemphysema reaching up to his face, there was no evidence of a pneumothorax or pneumomediastinum in this patient. Hehad no respiratory distress and his visual examination was normal and the periorbital surgical emphysema subsidedgradually within two days. The management of this complication and a review of the literature is presented.
机译：一名接受腹腔镜前列腺癌根治术的患者在二氧化碳注入耻骨后和腹膜后间隙后出现了单侧眶周水肿和宫颈皮下气肿。在病例结束期间和结束后，他患有高碳酸血症和酸中毒，在高碳酸血症消退并且动脉血气恢复正常之前，他需要在恢复室进行换气两个小时。尽管大量的外科肺气肿到达了他的脸上，但没有证据表明该患者有气胸或纵隔气肿。他没有呼吸窘迫，并且他的视力检查正常，并且眶周手术性肺气肿在两天内逐渐消退。介绍了这种并发症的处理方法和文献综述。

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