Trombose mesentérica como complicação da colecistectomia videolaparoscópica

Página do item simplificado
dc.contributor.authorFigueira, Antonio [UNIFESP]
dc.contributor.authorApodaca-Torrez, Franz Robert [UNIFESP]
dc.contributor.authorColleoni Neto, Ramiro [UNIFESP]
dc.contributor.authorTriviño, Tarcisio [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2015-06-14T13:24:45Z
dc.date.available2015-06-14T13:24:45Z
dc.date.issued1998-08-01
dc.description.abstractIntestinal complications after laparoscopic cholecystectomy are rare and usually caused by direct injury sustained on trocar insertion. However, intestinal ischaemia has been reported as an unusual complication of the pneumoperitoneum. We describe a 55-years-old patient who underwent an uneventful laparoscopic cholecystectomy after an episode of acute cholecystitis. Initial recovery was complicated by development of increasing abdominal pain which led to open laparotomy on day 2. Gangrene of the distal ileum and right-sided colon was detected and small bowel resection with right colectomy and primary anastomosis was performed. Histological examination of the resected ileum showed features of venous hemorragic infarction and trombosis. In view of the proximity of the operation it is assumed that ileal ischaemia was precipitated by carbon dioxide pneumoperitoneum. Some studies have been demonstrated that, within 30 minutes of establishing a pneumoperitoneum at an intraabdominal pressure of 16 mmHg, cardiac output, blood flow in the superior mesenteric artery and portal vein decrease progressively. Carbon dioxide pneumoperitoneum may lead to mechanical compression of the splanchnic veins and mesenteric vasoconstriction as a result of carbon dioxide absortion. The distribution of the ischaemic segment of intestine is also unusual as the most precarious blood supply is traditionally at the splenic flexure of the colon. It has been suggested that intermittent decompression of the abdomen reduces the risk of mesenteric ischaemia during penumoperitoneum especially in patients with predisposing clinical features for arteriosclerosis intestinal. In present patient was observed intestinal venous infarction what remains unclear but we think the carbon dioxide pneumoperitoneum have been related to it.en
dc.description.affiliationUNIFESP-EPM Departamento de Cirurgia
dc.description.affiliationUNIFESP-EPM
dc.description.affiliationUnifespUNIFESP, EPM, Depto. de Cirurgia
dc.description.affiliationUnifespUNIFESP, EPM
dc.description.sourceSciELO
dc.format.extent283-284
dc.identifierhttp://dx.doi.org/10.1590/S0100-69911998000400012
dc.identifier.citationRevista do Colégio Brasileiro de Cirurgiões. Colégio Brasileiro de Cirurgiões, v. 25, n. 4, p. 283-284, 1998.
dc.identifier.doi10.1590/S0100-69911998000400012
dc.identifier.fileS0100-69911998000400012.pdf
dc.identifier.issn0100-6991
dc.identifier.scieloS0100-69911998000400012
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/656
dc.language.isopor
dc.publisherColégio Brasileiro de Cirurgiões
dc.relation.ispartofRevista do Colégio Brasileiro de Cirurgiões
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLaparoscopicen
dc.subjectcholecystectomyen
dc.subjectPneumoperitoneumen
dc.subjectArtificialen
dc.titleTrombose mesentérica como complicação da colecistectomia videolaparoscópicapt
dc.title.alternativeIntestinal ischaemia after laparoscopic cholecystectomyen
dc.typeinfo:eu-repo/semantics/article
Arquivos
Pacote Original
Agora exibindo 1 - 1 de 1
Imagem de Miniatura
Nome:
S0100-69911998000400012.pdf
Tamanho:
3.36 MB
Formato:
Adobe Portable Document Format
Descrição:
Baixar
Coleções
EPM - Artigos