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Laparoscopic upper abdominal operations and mesenteric infarction

R T Schorr1

  • 1Alvarado Community Hospital, San Diego, California 92120, USA.

Journal of Laparoendoscopic Surgery
|December 1, 1995
PubMed
Summary

Laparoscopic surgery in the upper abdomen can lead to mesenteric visceral infarction due to carbon dioxide pneumoperitoneum. This complication can arise unexpectedly after an otherwise successful procedure.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Abdominal Surgery

Background:

  • Laparoscopic procedures in the upper abdomen are increasingly common.
  • Physiologic changes during carbon dioxide pneumoperitoneum are not fully understood.
  • Mesenteric visceral infarction is a rare but serious complication.

Purpose of the Study:

  • To investigate the link between laparoscopic upper abdominal surgery and mesenteric visceral infarction.
  • To highlight the potential role of carbon dioxide pneumoperitoneum in this complication.

Main Methods:

  • Case report analysis.
  • Review of physiologic effects of carbon dioxide pneumoperitoneum.
  • Discussion of technical aspects of laparoscopic upper abdominal surgery.

Main Results:

  • A case of mesenteric visceral infarction following laparoscopic surgery is presented.
  • The complication occurred despite a seemingly successful surgical outcome.
  • Physiologic alterations from carbon dioxide pneumoperitoneum are implicated.

Conclusions:

  • Mesenteric visceral infarction is a potential complication of laparoscopic upper abdominal surgery.
  • Carbon dioxide pneumoperitoneum and surgical technique may contribute to its occurrence.
  • Further research is needed to elucidate the exact mechanisms.

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