A comparison of gasless mechanical and conventional carbon dioxide pneumoperitoneum methods for laparoscopic cholecystectomy

Anesthesia and Analgesia
A M KoivusaloL Lindgren

Abstract

Carbon dioxide (CO2) insufflation with increased intraabdominal pressure (IAP) has adverse hemodynamic, pulmonary, and renal effects. To avoid these problems, an abdominal wall lift method with a retractor was used to provide the surgical view without CO2 insufflation. Twenty-six patients undergoing elective laparoscopic cholecystectomy were randomly allocated to either the gasless, retractor group, or conventional CO2 pneumoperitoneum group (CPP). Hemodynamic data, ventilatory variables, urine output, urine oxygen tension, and blood samples for determining stress hormones were collected throughout the perioperative period. Patients in the retractor group had lower mean arterial pressure, heart rate, and central venous pressure (P < 0.001). They also had higher pulmonary dynamic compliance and needed a lower minute volume of ventilation to achieve normocarbia (P < 0.001). Urine output and oxygen tension in urine were higher (P < 0.05) with the retractor method than with CPP. Increase in plasma renin activity (P < 0.05) and decrease in core temperature (P < 0.001) were smaller with the gasless method than with CPP. The gasless method for laparoscopic cholecystectomy might be beneficial, especially in patients with compromised ca...Continue Reading

References

Dec 1, 1976·Scandinavian Journal of Clinical and Laboratory Investigation·F FyhrquistH J Hollemans
Aug 1, 1991·Archives of Surgery·C M WittgenD L Kaminski
Aug 1, 1990·Anesthesiology·C Weissman
Apr 1, 1987·Chest·R HaakeR R Henschen
Jun 1, 1987·Chest·P T Macklem
Oct 31, 1974·The New England Journal of Medicine·A P Fishman, G G Pietra
Oct 1, 1974·Anesthesiology·D J Cullen, E I Eger
Nov 1, 1982·Annals of Surgery·P K HarmanS P Nolan
Jul 1, 1995·Journal of Applied Physiology·S KitashiroM Inada
Nov 1, 1995·British Journal of Anaesthesia·L LindgrenI Kellokumpu
Mar 1, 1996·Journal of Clinical Anesthesia·M T Mäkinen, A Yli-Hankala
Nov 1, 1996·British Journal of Anaesthesia·A M KoivusaloL Lindgren
Mar 1, 1997·British Journal of Anaesthesia·A D Walder, A R Aitkenhead
Jul 18, 1963·The New England Journal of Medicine·K O LEONHARDT, R R LANDES

❮ Previous
Next ❯

Citations

Jun 17, 1999·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·N H Badner
Jan 24, 2013·Surgical Endoscopy·Anders Meller DonatskyIsmail Gögenur
Mar 14, 2001·Anesthesiology Clinics of North America·C O'Malley, A J Cunningham
Apr 13, 1999·Gastroenterology Clinics of North America·S M Strasberg
Oct 20, 1999·Journal of Clinical Anesthesia·B Ben-DavidL Gaitini
Aug 29, 2007·Surgery·Eric J HanlyMark A Talamini
Jun 3, 2004·Best Practice & Research. Clinical Anaesthesiology·René Truchon
Dec 21, 2002·Best Practice & Research. Clinical Anaesthesiology·Irene E Leonard, Anthony J Cunningham
Jan 25, 2017·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Benjamin LöserMartin Petzoldt
Sep 3, 2013·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Oct 3, 2006·Current Opinion in Anaesthesiology·S B Jones, D B Jones
May 19, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Remziye SivaciCoskun Polat
Aug 12, 2000·Acta Anaesthesiologica Scandinavica·A M Koivusalo, L Lindgren

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.