腹腔鏡膽囊切除術中發生氣胸之個案報告

Intraoperative Pneumothorax during Laparoscopic Cholecystectomy

麻醉醫師將腹腔鏡膽囊切除術與其他腹腔鏡過程視為相似，期間均以二氧化碳氣體灌注於腹腔間隙以形成氣腹（pneumoperitoneum）。文中報告一名63歲的健康男性，在全身麻醉下進行選擇性腹腔鏡膽囊切除術，手術過程中發生低血氧的情形，並診斷為氣胸。此類併發症並不常見，但若沒有立即性的介入與控制將可能造成不幸的結果。

Anesthesiologists currently view laparoscopic cholecystectomy resemblant to other laparoscopic procedures with respect to the necessity of inducing a pneumoperitoneum via abdominal insufflation of carbon dioxide (CO2). The present case report describes a healthy 63-year-old man who while undergoing elective laparoscopic cholecystectomy under general anesthesia, developed hypoxemia in the course in consequence of pneumothorax. This complication, although rare, can be catastrophic if prompt diagnosis and rapid intervention and management do not come in the nick of time.