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7/27/2026 9:36:20 AM | Browse: 2 | Download: 0
Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 119733
Country China
Received
2026-02-07 03:28
Peer-Review Started
2026-02-07 03:29
First Decision by Editorial Office Director
2026-02-26 08:25
Return for Revision
2026-02-26 08:51
Revised
2026-03-09 15:29
Publication Fee Transferred
2026-03-10 11:09
Second Decision by Editor
2026-03-23 02:49
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-03-23 07:34
Articles in Press
2026-03-23 07:34
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-06-25 09:46
Publish the Manuscript Online
2026-07-27 09:36
ISSN 1948-9366 (online)
Open Access Open-Access: This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Surgery
Manuscript Type Case Report
Article Title Carbon dioxide embolism during salvage transanal total mesorectal excision in “frozen pelvis”: Two case reports
Manuscript Source Unsolicited Manuscript
All Author List Cai-Ping Li and Yi-Ming Lv
ORCID
Author(s) ORCID Number
Cai-Ping Li http://orcid.org/0009-0002-6056-9058
Yi-Ming Lv http://orcid.org/0000-0003-4835-0336
Funding Agency and Grant Number
Corresponding Author Yi-Ming Lv, MD, Department of Colorectal Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3 Qingchun Road, Shangcheng District, Hangzhou 310016, Zhejiang Province, China. elliottlv@zju.edu.cn
Key Words Carbon dioxide embolism; Transanal total mesorectal excision; Frozen pelvis; Salvage surgery; Perioperative nursing; Case report
Core Tip This case series serves as a critical warning on the significant intraoperative hazard of salvage transanal total mesorectal excision: Dense fibrosis resulting from prior multimodality treatment creates “non-collapsible veins” that remain open when injured, allowing massive carbon dioxide (CO2) influx. The investigators highlight the diagnostic biphasic capnographic signature-initial hypocapnia followed by rebound hypercapnia-as a key observational point for differentiating CO2 embolism from other causes of intraoperative collapse, and emphasize the vital role of perioperative nursing collaboration in the successful management of such crises.
Publish Date 2026-07-27 09:36
Citation

Li CP, Lv YM. Carbon dioxide embolism during salvage transanal total mesorectal excision in “frozen pelvis”: Two case reports. World J Gastrointest Surg 2026; 18(7): 119733

URL https://www.wjgnet.com/1948-9366/full/v18/i7/119733.htm
DOI https://doi.org/10.4240/wjgs.v18.i7.119733
Full Article (PDF) WJGS-18-119733-with-cover.pdf
CARE Checklist–2016 119733-CARE-Checklist-2016.pdf
Manuscript File 119733_Auto_Edited_085644.docx
Answering Reviewers 119733-answering-reviewers.pdf
Audio Core Tip 119733-audio.mp3
Conflict-of-Interest Disclosure Form 119733-conflict-of-interest-statement.pdf
Copyright License Agreement 119733-copyright-assignment.pdf
Signed Consent for Treatment Form(s) or Document(s) 119733-informed-consent-statement.pdf
Non-Native Speakers of English Editing Certificate 119733-non-native-speakers.pdf
Peer-review Report 119733-peer-reviews.pdf
Scientific Misconduct Check 119733-scientific-misconduct-check.png
Scientific Editor Work List 119733-scientific-editor-work-list.pdf
CrossCheck Report 119733-crosscheck-report.pdf