Argon gas embolism in the application of laparoscopic microwave coagulation therapy

Toru Ikegami, Mitsuo Shimada, Satoru Imura, Tomoka Nakamura, Shinji Kawahito, Yuji Morine, Hirofumi Kanemura, Jun Hanaoka

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Background: A major concern in the use of the argon beam coagulator system is the potential risk of argon gas embolism. Methods: Seven cases with argon gas embolism in the English literature were reviewed along with the current case. The latter case was a 77-year-old female having laparoscopic hepatectomy after application of the microwave coagulation system on the cutting planes. Results: Immediately following shots of an argon beam to control local bleeding at the needle hole in the liver caused by microwave coagulation, the end-tidal carbon disappeared, followed by cardiovascular collapse. After 18 min of cardiovascular resuscitation, the tumors were resected under laparotomy. Conclusions: After reviewing the cases, pneumoperitoneum (57.1%), hepatic needle punctures (42.8%) and direct application of the argon beam to the liver (28.6%) can be considered as risky processes in such events. Caution is necessary in the use of an argon beam in liver surgery to avoid life-threatening gas embolism.

Original languageEnglish
Pages (from-to)394-398
Number of pages5
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume16
Issue number3
DOIs
Publication statusPublished - Feb 12 2009
Externally publishedYes

Fingerprint

Air Embolism
Argon
Microwaves
Liver
Needles
Therapeutics
Literature
Pneumoperitoneum
Hepatectomy
Punctures
Resuscitation
Laparotomy
Carbon
Hemorrhage
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

Cite this

Argon gas embolism in the application of laparoscopic microwave coagulation therapy. / Ikegami, Toru; Shimada, Mitsuo; Imura, Satoru; Nakamura, Tomoka; Kawahito, Shinji; Morine, Yuji; Kanemura, Hirofumi; Hanaoka, Jun.

In: Journal of Hepato-Biliary-Pancreatic Surgery, Vol. 16, No. 3, 12.02.2009, p. 394-398.

Research output: Contribution to journalArticle

Ikegami, T, Shimada, M, Imura, S, Nakamura, T, Kawahito, S, Morine, Y, Kanemura, H & Hanaoka, J 2009, 'Argon gas embolism in the application of laparoscopic microwave coagulation therapy', Journal of Hepato-Biliary-Pancreatic Surgery, vol. 16, no. 3, pp. 394-398. https://doi.org/10.1007/s00534-008-0039-5
Ikegami, Toru ; Shimada, Mitsuo ; Imura, Satoru ; Nakamura, Tomoka ; Kawahito, Shinji ; Morine, Yuji ; Kanemura, Hirofumi ; Hanaoka, Jun. / Argon gas embolism in the application of laparoscopic microwave coagulation therapy. In: Journal of Hepato-Biliary-Pancreatic Surgery. 2009 ; Vol. 16, No. 3. pp. 394-398.
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AU - Imura, Satoru

AU - Nakamura, Tomoka

AU - Kawahito, Shinji

AU - Morine, Yuji

AU - Kanemura, Hirofumi

AU - Hanaoka, Jun

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