Skip to main content

Advertisement

SpringerLink
Log in

Laparoscopic transabdominal pericardial window

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

  • Original Articles
  • Published:
Surgical Endoscopy and Other Interventional Techniques Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

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

    PubMed  CAS  Google Scholar 

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

    Article  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  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

    Article  PubMed  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

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

    CAS  Google Scholar 

  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

    Article  PubMed  CAS  Google Scholar 

  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

    Google Scholar 

  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

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

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

    CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Minimal Invasive Surgery, Algmeen Centrum Ziekenhuis, Campus Stuivenberg, Antwerpen, Belgium

    E. Totté & R. van Hee

  2. Department of Cardiology, Algmeen Centrum Ziekenhuis, Campus Stuivenberg, Antwerpen, Belgium

    P. van Brabant, B. Wollaert, F. Oei & M. Vandermotte

  3. Department of Intensive Care Medicine, Algmeen Centrum Ziekenhuis, Campus Stuivenberg, Antwerpen, Belgium

    E. Gheuens & J. Leys

  4. Department of Anatomopathology, Algmeen Centrum Ziekenhuis, Campus Stuivenberg, Antwerpen, Belgium

    S. Declerck

  5. Department of Medical Oncology, Algmeen Centrum Ziekenhuis, Campus Stuivenberg, Antwerpen, Belgium

    G. Pelgrims & T. Dieudonné

Authors
  1. E. Totté
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. van Hee
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. P. van Brabant
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. B. Wollaert
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. Gheuens
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S. Declerck
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. J. Leys
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. G. Pelgrims
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. T. Dieudonné
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. F. Oei
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. M. Vandermotte
    View author publications

    You can also search for this author in PubMed Google Scholar

Additional information

Online publication: 8 February 2002

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s004640090128

Key words

Search

Navigation