The effects of different abdominal pressures on pulmonary function test results in laparoscopic cholecystectomy

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Erdal KaragulleGokhan Moray

Abstract

This study aimed to examine the effects of differing intra-abdominal pressures on pulmonary function test results in laparoscopic cholecystectomy. Forty-five patients were operated on under 3 different intra-abdominal pressures: group A (8 mm Hg), group B (12 mm Hg), and group C (15 mm Hg). On the first day before and after the operation, forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC rate, peak expiratory flow speed (PEF), and maximal middle expiration speed (FEF25-75) values were measured using Vmax 229 spirometry. No significant differences were observed among the 3 groups regarding preoperative and postoperative FVC, FEV1, FEV1/FVC, PEF, and FEF25-75 values (P=0.96, P=0.73, P=0.48, P=0.34, and P=0.33, respectively). When the groups' preoperative and postoperative values were compared, FVC, FEV1, and PEF values significantly decreased in each group. The FEF25-75 values statistically significantly decreased in groups B and C when compared with their preoperative values; however, the decrease in group A was not significant. In conclusion, different intra-abdominal pressures during laparoscopic cholecystectomy had similar effects on pulmonary function test results. However, lower intr...Continue Reading

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Citations

Mar 25, 2014·World Journal of Emergency Surgery : WJES·Hiroyuki TokueYoshito Tsushima
Aug 16, 2015·Surgical Endoscopy·Denise M D Özdemir-van BrunschotMichiel C Warlé
Jan 15, 2013·Respiratory Physiology & Neurobiology·Adriana Claudia LunardiCelso Ricardo Fernandes Carvalho
Dec 26, 2013·The Journal of Trauma and Acute Care Surgery·Jasper J AtemaMarja A Boermeester
Mar 19, 2014·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson

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