Randomized comparison of conventional carbon dioxide insufflation and abdominal wall lifting for laparoscopic cholecystectomy

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Yih-Huei UenHao-Hsien Lee

Abstract

Gasless laparoscopy using abdominal wall lifting (AWL) has been developed in an attempt to avoid the adverse effects of carbon dioxide pneumoperitoneum that may occur in conventional laparoscopy. However, lifting has been criticized for its poor operative space and surgical invasiveness. This study compared the AWL method with conventional CO2 pneumoperitoneum for laparoscopic cholecystectomy with respect to operation performance, postoperative course, and stress response. During a 6-month period, 95 patients with symptomatic gallstones were randomly assigned to receive laparoscopic cholecystectomy with conventional CO2 pneumoperitoneum (CO2 group; N = 47) or the AWL method (AWL group; N = 48). Operative results and operative time were recorded. Cardiopulmonary functions were assessed, and arterial blood gases were analyzed during surgery. Urinary cortisol, vanillylmandelic acid, metanephrines, and nitrogen loss; serum complement 3, C-reactive protein, and interleukin-6; postoperative pain; and the presence of nausea and vomiting were assessed for 48 hours after surgery. Postoperative time to recovery of flatus, tolerance of a full oral diet, and full activity were also determined. Only three significant differences were found....Continue Reading

References

Aug 1, 1992·Archives of Surgery·N J SoperS W Ashley
Mar 1, 1991·American Journal of Surgery·T R Gadacz, M A Talamini
Jan 1, 1989·Surgical Endoscopy·E J Reddick, D O Olsen
Feb 1, 1995·Surgical Endoscopy·J G McLaughlinB W Bonnell
Oct 1, 1993·The British Journal of Surgery·A J McMahonP J O'Dwyer
Jan 1, 1993·Surgical Endoscopy·D HashimotoT Hoshino
Sep 1, 1997·Obstetrics and Gynecology·J M Goldberg, W G Maurer
Jun 9, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·A SternbergB Kimmel

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Citations

Jan 24, 2013·Surgical Endoscopy·Anders Meller DonatskyIsmail Gögenur
Jan 23, 2013·Journal of Medical Case Reports·Waleed Al-KhyattDileep N Lobo
Dec 2, 2011·Journal of the American Veterinary Medical Association·Boel A Fransson, Claude A Ragle
Sep 3, 2013·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
Aug 2, 2002·Current Opinion in Obstetrics & Gynecology·Malcolm G Munro
Jul 10, 2021·Surgical Innovation·Aryaman GuptaTamara N Fitzgerald

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