{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T13:45:37Z","timestamp":1776174337747,"version":"3.50.1"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T00:00:00Z","timestamp":1695600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Subcutaneous emphysema is a relatively common complication in laparoscopic surgery. However, airway obstruction secondary to subcutaneous emphysema is rare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 63\u2010year\u2010old woman with a 56\u2010mm left renal tumor underwent a robot\u2010assisted partial nephrectomy. The operative time was 155\u2009min, the insufflation time was 108\u2009min, and the estimated blood loss was 70\u2009mL. The pneumoperitoneum pressure was maintained at 12\u2009mmHg, except at 15\u2009mmHg for 19\u2009min during tumor resection. The end\u2010tidal CO<jats:sub>2<\/jats:sub> was &lt;47\u2009mmHg throughout the procedure. Postoperatively, broad subcutaneous emphysema from the thigh to the eyelid was observed. Computed tomography revealed airway obstruction, and extubation was aborted. On postoperative day 1, emphysema around the trachea and neck improved and the intubation tube was successfully removed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both laryngeal emphysema and physical compression secondary to emphysema can cause airway obstruction. To reduce gas\u2010related complications, the risk of developing subcutaneous emphysema should be properly assessed during robot\u2010assisted laparoscopic surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12648","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T00:14:11Z","timestamp":1695687251000},"page":"461-464","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Broad subcutaneous emphysema with airway obstruction during robot\u2010assisted partial nephrectomy: A case report and literature review"],"prefix":"10.1002","volume":"6","author":[{"given":"Akihiro","family":"Ono","sequence":"first","affiliation":[{"name":"Department of Urology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7473-3325","authenticated-orcid":false,"given":"Masaki","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Urology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoe","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7309-3362","authenticated-orcid":false,"given":"Ibuki","family":"Tsuru","sequence":"additional","affiliation":[{"name":"Department of Urology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5107-9527","authenticated-orcid":false,"given":"Taro","family":"Izumi","sequence":"additional","affiliation":[{"name":"Department of Urology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Kusakabe","sequence":"additional","affiliation":[{"name":"Department of Radiology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunari","family":"Nakao","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology \u2013 Head &amp; Neck Surgery NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masanori","family":"Kashiwagi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9841-0857","authenticated-orcid":false,"given":"Haruki","family":"Kume","sequence":"additional","affiliation":[{"name":"Department of Urology, Graduate School of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiyuki","family":"Shiga","sequence":"additional","affiliation":[{"name":"Department of Urology NTT Medical Center Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,25]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0090-4295(93)90324-4"},{"key":"e_1_2_13_3_1","first-page":"131","article-title":"Recognition and management of subcutaneous emphysema as a complication of robotic\u2010assisted laparoscopic surgery: a case report","volume":"88","author":"Pallaria TJ","year":"2020","journal-title":"AANA J."},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13693422520882"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68262-6"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.05.035"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200005000-00014"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2011.08.006"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-020-01117-z"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199501000-00033"},{"key":"e_1_2_13_11_1","first-page":"540","article-title":"Case of pharyngeal emphysema with airway obstruction during retroperitoneal laparoscopic nephroureterectomy","volume":"100","author":"Yagihashi Y","year":"2009","journal-title":"Nihon Hinyokika Gakkai Zasshi"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aes488"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjac110"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2018.06.023"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.4293\/108680813X13654754535151"}],"container-title":["IJU Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/iju5.12648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T20:34:02Z","timestamp":1700080442000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/iju5.12648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,25]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/iju5.12648"],"URL":"https:\/\/doi.org\/10.1002\/iju5.12648","archive":["Portico"],"relation":{},"ISSN":["2577-171X","2577-171X"],"issn-type":[{"value":"2577-171X","type":"print"},{"value":"2577-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,25]]},"assertion":[{"value":"2023-03-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}