Comparative study of low pressure versus standard pressure pneumoperitoneum in laparoscopic cholecystectomy--a randomised controlled trial.

作者: Deepaesh Benjamin Kanwer , Bikash Medhi , Lileswar Kaman , Indu Bala , M Nedounsejiane

DOI:

关键词:

摘要: Introduction Standard pressure pneumoperitoneum for laparoscopic cholecystectomy employs a range of 12-14 mm Hg. An emerging trend has been the use low in 7-10 Hg an attempt to lower impact on human physiology while providing adequate working space. Our study proposes compare with standard pneumoperitoneum. Methods A randomised controlled trial consisting 60 patients symptomatic gallstone disease who underwent cholecystectomy, which 30 were subjected during procedure and Results Both groups comparable all aspects. The mean operating time was 49.07 +/- 5.72 minutes 46.43 6.92 minutes. There no statistically significant change blood pressure, heart rate, pain at 6 hours, need additional analgesia or shoulder tip Conclusions Low benefits patient form intensity postoperative but it does not positively intraoperative hemodynamics.

参考文章(11)
A. BARAKA, S. JABBOUR, R. HAMMOUD, M. AOUAD, F. NAJJAR, G. KHOURY, A. SIBAI, End-tidal carbon dioxide tension during laparoscopic cholecystectomy. Correlation with the baseline value prior to carbon dioxide insufflation. Anaesthesia. ,vol. 49, pp. 304- 306 ,(1994) , 10.1111/J.1365-2044.1994.TB14178.X
D. H. Wallace, M. G. Serpell, J. N. Baxter, P. J. O'Dwyer, Randomized trial of different insufflation pressures for laparoscopic cholecystectomy British Journal of Surgery. ,vol. 84, pp. 455- 458 ,(1997) , 10.1046/J.1365-2168.1997.02628.X
D. Davides, K. Birbas, A. Vezakis, M. J. McMahon, Routine low-pressure pneumoperitoneum during laparoscopic cholecystectomy Surgical Endoscopy and Other Interventional Techniques. ,vol. 13, pp. 887- 889 ,(1999) , 10.1007/S004649901126
Š. Hasukić, Postoperative changes in liver function tests: randomized comparison of low- and high-pressure laparoscopic cholecystectomy. Surgical Endoscopy and Other Interventional Techniques. ,vol. 19, pp. 1451- 1455 ,(2005) , 10.1007/S00464-005-0061-5
J. JORIS, I. CIGARINI, M. LEGRAND, N. JACQUET, D. DE GROOTE, P. FRANCHIMONT, M. LAMY, METABOLIC AND RESPIRATORY CHANGES AFTER CHOLECYSTECTOMY PERFORMED VIA LAPAROTOMY OR LAPAROSCOPY BJA: British Journal of Anaesthesia. ,vol. 69, pp. 341- 345 ,(1992) , 10.1093/BJA/69.4.341
M. Emad Esmat, Magdy M.A. Elsebae, Magid M.A. Nasr, Sameh B. Elsebaie, Combined low pressure pneumoperitoneum and intraperitoneal infusion of normal saline for reducing shoulder tip pain following laparoscopic cholecystectomy. World Journal of Surgery. ,vol. 30, pp. 1969- 1973 ,(2006) , 10.1007/S00268-005-0752-Z
L. Sarli, R. Costi, G. Sansebastiano, M. Trivelli, L. Roncoroni, Prospective randomized trial of low-pressure pneumoperitoneum for reduction of shoulder-tip pain following laparoscopy. British Journal of Surgery. ,vol. 87, pp. 1161- 1165 ,(2002) , 10.1046/J.1365-2168.2000.01507.X
S. P. L. Dexter, M. Vucevic, J. Gibson, M. J. McMahon, Hemodynamic consequences of high- and low-pressure capnoperitoneum during laparoscopic cholecystectomy. Surgical Endoscopy and Other Interventional Techniques. ,vol. 13, pp. 376- 381 ,(1999) , 10.1007/S004649900993
Yih-Huei Uen, Yi Chen, Chen-Yi Kuo, Kuo-Chang Wen, Lok-Beng Koay, Randomized trial of low-pressure carbon dioxide-elicited pneumoperitoneum versus abdominal wall lifting for laparoscopic cholecystectomy. Journal of The Chinese Medical Association. ,vol. 70, pp. 324- 330 ,(2007) , 10.1016/S1726-4901(08)70013-3
Mahmut Koc, Tamer Ertan, Mesut Tez, M. Ali Kocpinar, Mehmet Kilic, Erdal Gocmen, A. Kessaf Aslar, Randomized, prospective comparison of postoperative pain in low- versus high-pressure pneumoperitoneum. Anz Journal of Surgery. ,vol. 75, pp. 693- 696 ,(2005) , 10.1111/J.1445-2197.2005.03496.X