Randomized clinical trial of the effect of pneumoperitoneum on cardiac function and haemodynamics during laparoscopic cholecystectomy

The British Journal of Surgery
J F LarsenV Pedersen

Abstract

Conventional laparoscopic cholecystectomy (CLC) with carbon dioxide pneumoperitoneum may cause major cardiovascular changes. The aim of this study was to evaluate the effect of carbon dioxide pneumoperitoneum and positional changes on haemodynamics and cardiac function in patients assigned randomly to CLC or gasless laparoscopic cholecystectomy (GLC). Fifty patients with American Society of Anesthesiologists physical status I and II were randomly allocated to CLC (28 patients) or GLC (22). Left ventricular end-diastolic and end-systolic diameters, fractional shortening and cardiac output were determined by transoesophageal echocardiography. Measurements were performed before (phase 1) and 10 and 30 min (phases 2 and 3 respectively) after pneumoperitoneum or abdominal wall traction, and after desufflation or release of abdominal wall traction (phase 4) in supine, Trendelenburg and reverse Trendelenburg positions. Mean diastolic diameter, systolic diameter, mean arterial pressure and heart rate were significantly higher, and fractional shortening was significantly lower, with carbon dioxide pneumoperitoneum than with the gasless procedure during phases 2 and 3. There were no significant differences in cardiac output between the t...Continue Reading

References

Feb 1, 1995·Surgical Endoscopy·J G McLaughlinB W Bonnell
Dec 1, 1993·Journal of Laparoendoscopic Surgery·S HashimotoM Numata
May 1, 1993·Anesthesia and Analgesia·J L JorisM L Lamy
Feb 1, 1996·Acta Anaesthesiologica Scandinavica·P GannedahlA Sollevi
May 23, 1998·Acta Anaesthesiologica Scandinavica·K MyreO Stokland
Aug 12, 1998·Acta Anaesthesiologica Scandinavica·T HachenbergM Wendt
Aug 26, 1998·Lancet·A D Struthers, A Cuschieri
Nov 11, 1998·Journal of the American College of Cardiology·J L JorisM L Lamy
Sep 24, 1999·Acta Anaesthesiologica Scandinavica·L AnderssonS Odeberg-Wernerman
May 22, 2001·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·J F LarsenV Pedersen

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Citations

Oct 31, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Tzung-Hsin ChouPo-Huang Lee
Apr 3, 2012·The Indian Journal of Surgery·Sagar SadhuManas Kr Roy
Aug 13, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tung-Cheng ChangMing-Tsan Lin
Jan 25, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Tung-Cheng ChangMing-Tsan Lin
Jan 15, 2005·Annals of Surgery·Steve Eubanks
Nov 22, 2007·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·J AhmadM A Rathore
Feb 7, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mikito InokuchiKenichi Sugihara
Nov 20, 2012·Saudi Journal of Anaesthesia·Vanlal DarlongRajeev Kumar
Nov 26, 2013·Injury·Chien-Hung LiaoShih-Ching Kang
Nov 12, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chien-Hung LiaoTa-Sen Yeh
Nov 3, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Heidi ReichAlagappan Annamalai
Jan 4, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Yukio NayaTomohiko Ichikawa
Mar 7, 2006·Journal of Clinical Anesthesia·Frederic J GergesSamar I Jabbour-Khoury
Sep 8, 2005·The Journal of Urology·Michael C OstBenjamin R Lee
Oct 14, 2014·The Clinical Respiratory Journal·Venera AydınOzgen Ozmete
Nov 24, 2017·Journal of Cardiac Surgery·Alejandro Suarez-PierreJennifer S Lawton
Sep 3, 2013·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Feb 15, 2017·Circulation·Tamara M AtkinsonJoaquin E Cigarroa
Feb 22, 2005·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S JugoolB M Stephenson
Aug 22, 2009·European Journal of Anaesthesiology·Andrea RussoEnrico Di Stasio
Jan 15, 2011·Anesthesia and Analgesia·Melinda LestarSuzanne Odeberg-Wernerman
May 31, 2018·Revista do Colégio Brasileiro de Cirurgiões·Luiz Paulo Jacomelli RamosAntonio Carlos Iglesias
Jun 16, 2015·World Journal of Gastroenterology : WJG·Sang-Ho JeongYoung-Joon Lee
May 2, 2020·Systematic Reviews·Haitham ShomanDavid Ljungman
Apr 6, 2006·British Journal of Anaesthesia·E VivierJ P Viale

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