@article{ajmcr20219811,
author={{Zou, Yi and Wei, Lai and Tang, Yanan and Kong, Gaoyin},
title={Control of Extensive Subcutaneous Emphysema by Balloon Trocar ¨C A Case Report},
journal={American Journal of Medical Case Reports},
volume={9},
number={8},
pages={428--431},
year={2021},
url={http://pubs.sciepub.com/ajmcr/9/8/11},
issn={2374-216X},
abstract={Subcutaneous emphysema (SE) is not an uncommon complication in laparoscopic surgery, it may cause severe hypercapnia and acidosis. The trocar related SE is usually caused by multiple attempts at the abdominal entry and leakage of gas into the subcutaneous tissue, this kind of SE usually causes refractory hypercapnia and may induce severe complications. However, Intraoperative treatment for this kind of SE is still limited. Here we present a case of refractory hypercapnia caused by trocar related SE, after failed attempts of hyperventilation and decreasing intra-abdominal pressure, the SE and hypercapnia were finally controlled by using a balloon trocar.},
doi={10.12691/ajmcr-9-8-11}
publisher={Science and Education Publishing}
}