Skip to main content
Log in

Pulmonary embolism following laparoscopic cholecystectomy

Report of two cases and review of the literature

  • Case Reports
  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Laparoscopic abdominal surgery is considered a low-risk procedure for postoperative thromboembolic disease. We report two cases of pulmonary embolism following laparoscopic cholecystectomy, review the incidence of deep venous thrombosis and pulmonary embolism in laparoscopic cholecystectomy, and suggest a specific prophylactic scheme for patients undergoing laparoscopic cholecystectomy. In spite of the low incidence of postoperative thromboembolic disease following minimally invasive procedures, the risk of pulmonary embolism must not be underestimated and its symptoms must not be underdiagnosed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bailey RW, Zucker KA, Flowers JL, Scovill WA, Graham SM, Imbembo AL (1991) Laparoscopic cholecystectomy. Experience with 375 consecutive patients. Ann Surg 214: 531–540

    Google Scholar 

  2. Berquist D, Burmark V, Frisell J (1990) Low molecular weight heparin once daily compared with conventional low-dose heparin twice daily. A prospective double-blind multicentre trial on prevention of postoperative thrombosis. Br J Surg 73: 204–209

    Google Scholar 

  3. Criado E, Johnson G (1991) Acute deep vein thrombosis. Curr Probl Surg 28: 348–355

    Google Scholar 

  4. Deziel D, Millikan K, Economou S, Doolas A, Ko S, Airan M (1993) Complications of laparoscopic cholecystectomy: a national survey of 4,292 hospitals and an analysis of 77.604 cases. Am J Surg 165: 9–14

    Google Scholar 

  5. Fabre J, Pyda P, De Seguin C, Lapage B, Balmes M, Baumel H, Domergue J (1992) Evaluation of the laparoscopic cholecystectomy on patients with simple and complicated cholecystolithiasis. World J Surg 16: 113–117

    Google Scholar 

  6. Graves H, Ballinger J, Anderson W (1991) Appraisal of laparoscopic cholecystectomy. Ann Surg 213: 655–663

    Google Scholar 

  7. Hirsh J, Levine MN (1992) Low molecular weight heparin. Blood 79: 1–17

    Google Scholar 

  8. Hoyt D, Swegle J (1991) Deep venous thrombosis in the surgical intensive care unit. Surg Clin N Am 71: 811–829

    Google Scholar 

  9. Ortega AE, Peters JH, Anthone GJ, Richman M (1993) Inferior vena cava blood flow during laparoscopy. Surg Endosc 7: 136

    Google Scholar 

  10. Perissat J, Collet D, Belliard R, Desplantez J, Magne E (1992) Lapararoscopic cholecystectomy: the state of the art. A report on 700 consecutive cases. World J Surg 16: 1074–1082

    Google Scholar 

  11. Persson A, Davis R, Villavicencio J (1991) Deep venous thrombosis and pulmonary embolism. Surg Clin N Am 71: 1195–1209

    Google Scholar 

  12. Peters JH, Gibbons GD, Innes JT, Nichols KE, Front ME, Roby SR, Ellison EC (1991) Complications of laparoscopic cholecystectomy. Surgery 110: 769–778

    Google Scholar 

  13. SAGES Scientific session and postgraduate course: advances in laparoscopic general surgery (1992) Surg Endosc 6: 152–159

    Google Scholar 

  14. Samama M, Combe-Tamzaly S (1990) Prevention of thromboembolism disease in general surgery with enoxaparin. Br J Clin Pract Suppl 65: 9–17

    Google Scholar 

  15. Shimomura K, Ohtomo Y, Ishizaki Y, Noie T, Abe H, Bandai Y, Idezuki Y (1992) Peripheral venous pressure analysis in the lower limb during pneumoperitoneum in clinical laparoscopic cholecystectomy. Surg Endosc 6:87

    Google Scholar 

  16. Schirmer B, Edge S, Dix J, Hyser M, Hanks J, Jones M (1991) Laparoscopic cholecystectomy. Treatment of choice for symptomatic cholelithiasis. Ann Surg 213: 665–677

    Google Scholar 

  17. Voyles C, Petro A, Meena A, Haick A, Koury M (1991) A practical approach to laparoscopic cholecystectomy. Am J Surg 161: 365–370

    Google Scholar 

  18. Wheeler H, Anderson F (1991) Prophylaxis against venous thromboembolism in surgical patients. Am J Surg 161: 507–511

    Google Scholar 

  19. Wolfe B, Gardiner B, Leary B, Frey C (1991) Endoscopic cholecystectom. An analysis of complications. Arch Surg 126: 1192–1198

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mayol, J., Vincent-Hamelin, E., Sarmiento, J.M. et al. Pulmonary embolism following laparoscopic cholecystectomy. Surg Endosc 8, 214–217 (1994). https://doi.org/10.1007/BF00591834

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00591834

Key words

Navigation