A Case of Delayed Development of Subcutaneous Emphysema after Total Laparoscopic Prostatectomy

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  • 腹腔鏡下根治的前立腺全摘術中に生じた皮下気腫が遅発性に進展した症例

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<p>A 60-year-old man underwent total laparoscopic prostatectomy at our facility. Ventilatory impairment was not observed during surgery, but subcutaneous emphysema developed from the neck to the femur after surgery. No airway obstruction or severe respiratory acidosis occurred, and he was extubated 1 hour postoperatively. His respiratory state was stable, and his postoperative recovery was uneventful. However, 28 hours after returning to the ward, he complained of dyspnea and anterior chest pain and exhibited a transiently decreased percutaneous oxygen saturation. Computed tomography showed development of subcutaneous emphysema with no airway obstruction. We administered oxygen and performed a supraclavicular skin incision for degassing. Although subcutaneous emphysema is a known complication of laparoscopic surgery, this is the first reported case in which the symptoms appeared more than several hours after surgery.</p>

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