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Laparoscopic transabdominal pericardial window

New standard in the treatment of recurrent pericardial effusion complicated by cardiac tamponade

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Abstract

Creation of a transabdominal transdiaphragmatic pericardial window for life-threatening recurrent pericardial effusion has proved to be a safe minimally invasive technique. By inducing adequate pericardial sac decompression while avoiding single-lung ventilation and thoracic drainage in severely ill patients, it provides anatomopathologic diagnosis and can direct further therepeutic measures. The transabdominal approach improves postoperative recovery dramatically by limiting postoperative pain and prevents sometimes invalidating intercostal neuralgia. Transabdominal pericardial sac fenestration should be part of the armamentarium used by every minimally invasive surgeon.

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References

  1. 1.

    Hasson HM (1971) A modified instrument and method for laparoscopy. Am J Obstet Gynecol 110: 886–887

  2. 2.

    Hazelregg SR, Mack MJ, Landreneau RJ, Acuff TE (1993) Thoracoscopic pericardiactomy for effusive pericardial disease. Ann Thorac Surg 56: 792–795

  3. 3.

    Helms SR, Carlson MD (1989) Cardiovascular emergencies. Semin Oncol 16: 463–467

  4. 4.

    Lafullarde T, van Hee R, Gys T (1999) A safe and simple method for routine open access in laparoscopic procedures. Surg Endosc 13: 769–772

  5. 5.

    Mann GB, Nguyen H, Corbeit J (1994) Laparoscopic creation of a pericardial window. Ausl N Z J Surg 64: 853–855

  6. 6.

    Mayer HJ (1993) Transdiaphragmatic pericardial window: a new approach. J Cardiovasc Surg 34: 173–175

  7. 7.

    McMahon DJ, Sing RF, Hoff WS, Schwab CW (1997) Laparoscopic transdiaphragmatic diagnostic pericardial window in the hemodynamically stable patient with penetrating chest trauma: brief report. Surg Endosc 11: 474–475

  8. 8.

    Pichler JM, Pluth JR, Schaff NV, Danielson GK, Orszwlak TA, Puga FL (1985) Surgical management of effusive pericardial disease. J Thorac Cardiovasc Surg 90: 506–516

  9. 9.

    Porter JM (1996) Diagnostic laparoscopy and laparoscopic transdiaphragmatic pericardial window in a patient with an epigastric stab wound: a case report. J Laparoendosc. Surg 6: 51–54

  10. 10.

    Ready A, Black J, Lewis R, Roscoe B (1992) Laparoscopic pericardial fenestration for malignant pericardial effusion. Lancet 339: 1609 [letter]

  11. 11.

    Sastic JW, Stalter KD, Goddard RL (1992) Laparoscopic pericardial window. Laparosc Surg 2: 263–266

  12. 12.

    Spodick DH (1983) Pericardial windows are suboptimal. Am J Cardiol 51: 607

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Author information

Correspondence to E. Totté.

Additional information

Online publication: 8 February 2002

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Totté, E., van Hee, R., van Brabant, P. et al. Laparoscopic transabdominal pericardial window. Surg Endosc 16, 859–863 (2002). https://doi.org/10.1007/s004640090128

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Key words

  • Laparoscopy
  • Pericardial window
  • Cardiac tamponade
  • Fenestration