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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Related Experiment Video

Updated: Apr 3, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

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[Capnothorax following a diagnostic laparoscopy].

Piet Krijtenburg1, Ernst Jan Spillenaar Bilgen, Martin Seesink

  • 1Rijnstate Ziekenhuis, Arnhem.

Nederlands Tijdschrift Voor Geneeskunde
|September 17, 2015
PubMed
Summary

Capnothorax, a rare complication of laparoscopic surgery, can occur postoperatively. Differentiating it from pneumothorax is crucial as capnothorax often requires conservative treatment.

Area of Science:

  • Surgical Complications
  • Pulmonology
  • Gastroenterology

Background:

  • Laparoscopic surgery is a minimally invasive technique increasingly used for gastrointestinal procedures.
  • Total gastrectomy involves the surgical removal of the entire stomach, often indicated for advanced gastric cancer.
  • Postoperative complications can arise, necessitating prompt diagnosis and management.

Observation:

  • An 84-year-old female patient developed bilateral pneumothorax after an uneventful laparoscopic procedure for a planned total gastrectomy.
  • Clinical parameters suggested capnothorax, a rare condition characterized by carbon dioxide accumulation in the pleural space.
  • This diagnosis was made postoperatively, highlighting the importance of vigilant monitoring.

Findings:

  • Capnothorax is a rare complication of laparoscopic surgery, distinct from a standard pneumothorax.

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  • The key differentiator lies in the underlying cause: gas accumulation versus lung collapse.
  • Capnothorax often amenable to conservative management, unlike pneumothorax.

    • Implications:

    • Accurate differentiation between capnothorax and pneumothorax is critical for appropriate patient treatment.
    • Conservative management of capnothorax can avoid more invasive interventions.
    • Understanding perioperative signs, symptoms, physiology, and treatment of capnothorax improves surgical patient outcomes.