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Updated: Apr 3, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
[Capnothorax following a diagnostic laparoscopy]
Piet Krijtenburg1, Ernst Jan Spillenaar Bilgen, Martin Seesink
1Rijnstate Ziekenhuis, Arnhem.
Abstract:
An 84-year-old woman underwent a diagnostic laparoscopy preceding a planned total gastrectomy. A bilateral pneumothorax was diagnosed postoperatively, following an uneventful procedure. The patient's clinical parameters led to the diagnosis of capnothorax, a rare complication of laparoscopic surgery. It is important to be able to differentiate between a capnothorax and a pneumothorax because the treatment is different: a capnothorax can generally be treated conservatively. The perioperative signs and symptoms, physiology and treatment of a capnothorax are discussed in this article.
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