Gastroparesis after video-assisted thoracic surgery:A case report  

作　　者：Hang An Yu-Cun Liu 

机构地区：[1]Department of General Surgery,Peking University First Hospital,Beijing 100034,China

出　　处：《World Journal of Clinical Cases》2023年第8期1862-1868,共7页世界临床病例杂志

摘　　要：BACKGROUND Video-assisted thoracic surgery(VATS)lobectomy is a common treatment for patients with early-stage lung cancer.Some patients can experience slight gastrointestinal discomfort after lobectomy for a moment.Gastroparesis is a gastrointestinal disorder that can be severe;it is associated with an increased risk of aspiration pneumonia and impaired postoperative recovery.Here,we report a rare case of gastroparesis after VATS lobectomy.CASE SUMMARY A 61-year-old man underwent VATS right lower lobectomy uneventfully but had an obstruction of the upper digestive tract 2 d after surgery.Acute gastroparesis was diagnosed after emergency computed tomography and oral iohexol X-ray imaging.After gastrointestinal decompression and administration of prokinetic drugs,the patient’s gastrointestinal symptoms improved.Since perioperative medication was applied according to the recommended dose and there was no evidence of electrolyte imbalance,intraoperative periesophageal vagal nerve injury was the most likely underlying cause of gastroparesis.CONCLUSION Although gastroparesis is a rare perioperative complication following VATS,clinicians should be on the alert when patients complain about gastrointestinal discomfort.When surgeons resect paraesophageal lymph nodes with electrocautery,excessive ambient heat and compression of paraesophageal hematoma might induce vagal nerve dysfunction.

关 键 词：GASTROPARESIS Delayed gastrointestinal emptying Video-assisted thoracic surgery LOBECTOMY Thoracic surgery Case report 

分 类 号：R656.6[医药卫生—外科学]