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Laparoscopic cholecystectomy in an adult male with Duchenne muscular dystrophy Yusuke YAMAOKA 1 , Tadafumi ASAOKA 1 , Atsushi MIYAMOTO 1 , Kazuyoshi YAMAMOTO 1 , Mitsugu SEKIMOTO 1 , Shoji NAKAMORI 1 1Department of Surgery, National Hospital Organization, Osaka National Hospital Keyword: Duchenne型筋ジストロフィー , 腹腔鏡下手術 , 低置肋骨弓 pp.287-292
Published Date 2014/5/15
DOI https://doi.org/10.11477/mf.4426101095
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Here we report the case of an adult patient with Duchenne muscular dystrophy, who underwent laparoscopic cholecystectomy for cholecystitis. A 36-year-old man with Duchenne muscular dystrophy had been treated with noninvasive positive pressure ventilation for severe weakness of the respiratory muscles. The patient was, therefore, particularly susceptible to severe respiratory complications after laparoscopic cholecystectomy. Surgery was performed under total intravenous anesthesia with propofol and remifentanil. Neither inhalational anesthetic nor muscle relaxant was used because of the high risk of malignant hyperthermia. The operative working space was restricted because of the poor elevation of the abdominal wall caused by the absence of muscle relaxant and the low-lying costal arch caused by scoliosis. However, laparoscopic cholecystectomy was less invasive than laparotomy and deterioration of pulmonary function was minimal, contributing to the smooth postoperative course.


Copyright © 2014, 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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