Managing carbon dioxide embolism in hepatobiliary laparoscopic surgery: a case report

Abstract

Laparoscopic surgery has become a cornerstone of modern medicine, emerging as one of the most frequently performed procedures in the most of the world. It serves as a minimally invasive technique used for a range of diagnostic and therapeutic interventions, including cholecystectomy, hysterectomy, and tissue biopsies. It needs insufflation of the carbon dioxide (CO₂) peritoneal cavity to offer space in the abdominal cavity. Veress needle technique being one of the most commonly used, which may injure abdominal contents and blood vessels. This case report is about the inadvertent intrahepatic entry of the Veress needle.

Keywords: Cholecystectomy; Laparoscopic surgery; Veress needle

Citation: Jiang M, Rajan GR. Managing carbon dioxide embolism in hepatobiliary laparoscopic surgery: a case report. Anaesth. pain intensive care 2025;29(2):345-349. DOI: 10.35975/apic.v29i2.2727