Pneumothorax during retroperitoneal laparoscopic partial nephrectomy in a lupus nephritis patient:A case report
作者机构：Department of UrologyPeking Union Medical College HospitalBeijing 100730China Department of AnesthesiologyPeking Union Medical College HospitalBeijing 100730China
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第5期
页 面：1684-1688页
核心收录：
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100214[医学-肿瘤学] 10[医学]
主 题：Pneumothorax Laparoscopic partial nephrectomy Lupus nephritis Case report
摘 要：BACKGROUND Downgrading target treatment and laparoscopic partial nephrectomy have become increasingly popular in patients with renal cell *** as it is,pneumothorax is one of the most severe intraoperative complications which needs immediate *** the other hand,as a rheumatological disease,lupus nephritis requires a long period of hormone *** of pneumothorax in hormone-consuming renal cancer patients are even *** SUMMARY A 39-year-old woman was admitted to our department to take a laparoscopic partial *** patient had a medical history of lupus nephritis and renal clear cell carcinoma with hormone and target *** blood oxygen saturation dropped to 92%during the operation,and pneumothorax was detected by ultrasound.O2 inhalation and lung dilation were *** vital signs were monitored closely throughout the *** operation was accomplished,and she regained consciousness smoothly.A postoperative bedside chest X-ray was conducted after she was transferred to the urosurgery ward,while no evidence of further pneumothorax or lib injury was *** Pneumothorax is a severe complication in laparoscopic or robotic-assisted laparoscopic operations,especially in retroperitoneal *** is easily neglected unless the injury of the diaphragm is *** insufflation pressure and shorter operation time are necessary for patients with a history of long-term hormone consumption or chronic immune system disease.
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