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Updated: May 29, 2026
Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
Delayed recovery following laparoscopic partial hepatectomy
Viola Van Gorp1, Marc Diltoer, Georges Delvaux
1Department of Critical Care, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium. viola.vangorp@hotmail.com
Abstract:
We present a 42-year-old woman with unexpected coma after laparoscopic partial hepatectomy. MRI demonstrated ischaemic cerebral lesions. Further investigation revealed a patent foramen ovale. Cryptogenic stroke arising from a paradoxical carbon dioxide embolism was diagnosed. After 5 days of intensive care, she made a near complete recovery. Perioperative stroke, paradoxical emboli during surgery, patent foramen ovale, carbon dioxide cerebral embolism and therapeutic strategies are discussed.
