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Table 1 Summary of reports on adopting conservative treatments in patients with capno-thorax during laparoscopic surgeries

From: Carbon dioxide pneumothorax following retroperitoneal laparoscopic partial nephrectomy: a case report and literature review

Reference

Type of surgery

Route of surgery

Time to discovery

Associated condition (the lowest SpO2)

Causes

Volume a

Special treatment b

Waterman et al. [3]

Upper pole partial nephroureterectomy

Transperitoneal

End of surgery

Unstable respiratory condition (93%)

Possible long surgery duration, high peritoneum pressure, unrecognized congenital defects

Moderate (unilateral)

Transient deflation

Percutaneous endoscopic Cohen reimplant of ureters

Intravesical via extraperitoneal

Intraoperative

Unstable respiratory condition, subcutaneous emphysema (60%)

Large (left), small (right)

No

Park et al. [15]

Gastrectomy

Transperitoneal

Intraoperative

Unstable respiratory condition (94%)

Confirmed congenital diaphragm defect

Large (unilateral)

Transient deflation

Msezane et al. [28]

Partial nephrectomy

Transperitoneal

Intraoperative

Stable (unchanged)

Confirmed diaphragm injury

Large (unilateral)

Diaphragm laceration repaired

Karayiannakis et al. [29]

Cholecystectomy

Transperitoneal

Intraoperative

Unstable respiratory condition (92%)

Possible congenital diaphragm defect

Large (unilateral)

No

Mehran et al. [31]

Bariatric surgery

Transperitoneal

Intraoperative

Unstable cardiopulmonary condition (100%)

Unclear

Large (unilateral)

Transient deflation, peritoneum pressure reduced

Altarac et al. [32]

Ureterolysis

Transperitoneal

Intraoperative

Unstable respiratory condition, subcutaneous emphysema (unchanged)

Possibly diaphragm defect

NA (unilateral)

Converted to open surgery.

Kumar et al. [33]

Cholecystectomy

Transperitoneal

Intraoperative

Unstable cardiopulmonary condition (85%)

Unclear

apical (unilateral)

No

Bala et al. [34]

Cholecystectomy

Transperitoneal

Intraoperative

Unstable cardiopulmonary condition (85%)

Unclear

NA (unilateral)

No

Phillips el al. [35]

Hiatus hernia repair

Transperitoneal

10 intraoperative, 1 postoperative

Unstable cardiopulmonary condition (NA)

Surgical dissection

NA (2 bilateral)

NA

  1. NA, not available
  2. aAll diagnosed by chest X-ray;
  3. bTreatment of pneumothorax besides increased FiO2, improved ventilator settings and close monitoring