ArticleIJU case reports2022
Carbon dioxide gas embolism during robot-assisted laparoscopic partial nephrectomy.
Article in IJU case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 7 citations in OpenAlex.
- Gynaecological Laparoscopy Surgery Complicated Into CORespirology case reports · 2026Article
- A Case of Cerebral Air Embolization During Robot-Assisted Partial Nephrectomy via a Retroperitoneal Approach for the Patient With Renal Cell Carcinoma.IJU case reports · 2026Article
- A case of cerebral infarction caused by carbon dioxide embolism during robotic-assisted laparoscopic partial nephrectomy.Urology case reports · 2025Article
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: One of the complications of laparoscopic surgery is gas embolism, which has low incidence but high mortality. Carbon dioxide embolism diagnosed during robot-assisted laparoscopic partial nephrectomy has been experienced. Case presentation: 77-year-old woman with a left renal tumor received robot-assisted laparoscopic partial nephrectomy. End-tidal carbon dioxide pressure and oxygen saturation of peripheral artery suddenly decreased 5 min after the start of tumor resection with pneumoperitoneum pressure of 15 mmHg and positive end-expiratory pressure turned off. Therefore, pulmonary artery gas embolism was diagnosed. The pneumoperitoneum pressure was dropped, and positive end-expiratory pressure was restarted. These conditions improved and the procedure was completed. Conclusion: Carbon dioxide gas embolism during robot-assisted partial nephrectomy should be focused on because prompt diagnosis and treatment will improve life outcomes. The optimal pneumoperitoneum pressure for each case, rather than making it uniform, should be reconsidered.
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