Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Anesthesiology
Volume 2014, Article ID 582078, 4 pages
http://dx.doi.org/10.1155/2014/582078
Case Report

Laparoscopic Cholecystectomy in a Patient with Previous Pneumonectomy: A Case Report and Discussion of Anaesthetic Considerations

1Department of Anaesthesia, Launceston General Hospital, Charles Street, Launceston, TAS 7250, Australia
2Department of Anaesthesia, Dubbo Base Hospital, Myall Street, Dubbo, NSW 2830, Australia

Received 11 May 2014; Accepted 16 October 2014; Published 9 November 2014

Academic Editor: Mario Dauri

Copyright © 2014 Dash Faith Newington and Sanaa Ismail. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Increasing numbers of patients require cholecystectomy after previous pneumonectomy, but there are little data to guide anaesthetic management. A laparoscopic approach is associated with less postoperative respiratory compromise than open cholecystectomy but may be relatively contraindicated due to the undesirable effects of pneumoperitoneum on respiratory function. We describe the case of a 72-year-old patient who successfully underwent elective laparoscopic cholecystectomy 23 years after left pneumonectomy. An understanding of the combined physiological consequences of pneumonectomy and pneumoperitoneum facilitated the provision of safe and uneventful anaesthesia. We propose that laparoscopic cholecystectomy is feasible and safe to perform in patients with a single lung.