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A case of extensive pulmonary embolism after laparoscopic cholecystectomy despite the use of preventive measures Yasuo KAWAGUCHI 1 , Tadateru TAKAHASHI 1 , Seiji SADAMOTO 1 , Kazuhiro TOYOTA 1 , Masahiro IKEDA 1 , Satoshi SHIBATA 2 1Department of Surgery, Higashihiroshima Medical Center 2Department of Thoracic Surgery, Higashihiroshima Medical Center Keyword: 腹腔鏡下胆囊摘出術 , 肺塞栓症 , 予防 pp.203-207
Published Date 2007/4/15
DOI https://doi.org/10.11477/mf.4426100040
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 A 63 year-old woman suffered extensive pulmonary embolism(PE)after laparoscopic cholecystectomy(LC)despite the use of preventive measures. We used elastic stockings(ES)and intermittent pneumatic compression(IPC)for perioperative PE prophylaxis and underwent LC with pneumoperitoneum. She complained of slight dyspnea on post-operative day(POD)2. CT revealed PE on POD 3, so we started treatment immediately with anticoagulation. We had to stop anticoagulant treatment for a while because of hemorrhage from the trocar wound. After that she received anticoagulation again and she was discharged on POD 31. We regard using ES and IPC at the same time as one of the most effective PE prophylaxis in LC. However, this prophylaxis can not prevent PE completely even in short operative time. We must always keep this fact in mind.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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