Changes in Breathing Control and Mechanics After Laparoscopic vs Open Cholecystectomy

Bablekos, George

doi:10.1001/archsurg.141.1.16

Cited by 19 publications

(26 citation statements)

References 48 publications

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“…There is association between the higher incidence of pulmonary complications in the postoperative period of abdominal surgery with an average time of surgery exceeding 210 minutes 31 . In the study by Chiavegato et al 6 However, it has been shown that laparoscopy produces small changes, which do have an impact on lung function, especially in patients with previous pulmonary compromise 32 . In the evaluation of respiratory muscle strength in patients of both groups, a greater decline in the maximal inspiratory pressure (MIP) has been observed after 24 hours in the group of patients submitted to conventional laparoscopic cholecystectomy, with a significant difference between groups (p=0.0308) 33 .…”

Section: Resultsmentioning

confidence: 99%

Pulmonary function in women: comparative analysis of conventional versus single-port laparoscopic cholecystectomy

Borges

Gouvea

Marcacini

et al. 2018

Rev. Col. Bras. Cir.

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Section: Resultsmentioning

confidence: 99%

Pulmonary function in women: comparative analysis of conventional versus single-port laparoscopic cholecystectomy

Borges

Gouvea

Marcacini

et al. 2018

Rev. Col. Bras. Cir.

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“…KARS is a gasless laparoscopic technique which protects the patient from the pneumo-peritoneum associated side effects like hypercapnia, acidosis, gas embolism, pneumothorax, subcutaneous emphysema, deep venous thrombosis, instability of the hemodynamics, decrease in renal functions, and peritoneal oxidative stress [5–7, 10, 11, 19–21]. Gasless surgery is also more optimal for regional anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope‐Lifting Surgery and Conventional CO₂ Laparoscopy: A Case Controlled Clinical Study

Ülker

Hüseyınoğlu

2013

The Scientific World Journal

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Objective. To evaluate the safety and efficacy of Keyless Abdominal Rope-Lifting Surgery (KARS), for tubal sterilization procedures in comparison with the conventional CO2 laparoscopy. Material and Methods. During a one-year period, 71 women underwent tubal ligation surgery. Conventional laparoscopy (N = 38) and KARS (N = 33) were used for tubal sterilization. In KARS, an abdominal access pathway through a single intra-abdominal incision was used to place transabdominal sutures that elevated the abdominal wall, and the operations were performed through the intraumbilical entry without the use of trocars. In CO2 laparoscopy, following the creation of the CO2 pneumoperitoneum a 10 mm trocar and two 5 mm trocars were introduced into the abdominal cavity. Tubal sterilizations were performed following the creation of the abdominal access pathways in both groups. The groups were compared with each other. Results. All operations could be performed by KARS without conversion to CO2 laparoscopy or laparotomy. The mean operative time of the two groups was not significantly different (P > 0.05). Intra- and postoperative findings including complications, bleeding, and hospital stay time did not differ between groups (P > 0.05). Conclusion. KARS for tubal sterilization seems safe and effective in terms of cosmesis, postoperative pain, and early hospital discharge.

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“…15 Nonetheless, it has been shown that laparoscopy produces minor alterations, but which have an impact on pulmonary functions, particularly in those patients who have had previous pulmonary impairments . 3,17 In many hospitals throughout the world, surgery that was previously performed via a large incision is now more commonly performed laparoscopically. The efficacy of physiotherapy in laparoscopic surgery has not been investigated.…”

Section: Discussionmentioning

confidence: 99%

Chest physiotherapy during immediate postoperative period among patients undergoing laparoscopic surgery- A Randomized Controlled Pilot Trail

Alaparthi¹,

Augustine²,

Anand³

et al. 2013

Int J of Biomed & Adv Res

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Objective:To evaluate the effects of diaphragmatic breathing exercise on pulmonary function and diaphragm excursion in patients who underwent laparoscopic surgery

Materials and Methods: Twenty sample sizes with twelve men and eight women who underwent laparoscopic surgery were randomly divided as follows: 10 subjects performed diaphragmatic breathing exercise, (other therapies like bronchial hygiene therapy, Thoracic mobility exercise and mobilization) and 10 participated as a control group. All of them underwent evaluations of pulmonary function test with measurement of forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC ratio, peak expiratory flow (PEF) and diaphragm excursion by ultra songraphybefore the operation and first, second postoperative day(POD)

Results: pulmonary function and diaphragm excursion values between preoperative and postoperative (first, second) days were found to be higher in the exercise group when compared to control group.

Conclusions: chest physiotherapy contributed towards early recovery of pulmonary function and diaphragm excursion among patients who had undergone laparoscopic surgery

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Changes in Breathing Control and Mechanics After Laparoscopic vs Open Cholecystectomy

Cited by 19 publications

References 48 publications

Pulmonary function in women: comparative analysis of conventional versus single-port laparoscopic cholecystectomy

Pulmonary function in women: comparative analysis of conventional versus single-port laparoscopic cholecystectomy

Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope‐Lifting Surgery and Conventional CO₂ Laparoscopy: A Case Controlled Clinical Study

Chest physiotherapy during immediate postoperative period among patients undergoing laparoscopic surgery- A Randomized Controlled Pilot Trail

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Changes in Breathing Control and Mechanics After Laparoscopic vs Open Cholecystectomy

Cited by 19 publications

References 48 publications

Pulmonary function in women: comparative analysis of conventional versus single-port laparoscopic cholecystectomy

Pulmonary function in women: comparative analysis of conventional versus single-port laparoscopic cholecystectomy

Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope‐Lifting Surgery and Conventional CO2 Laparoscopy: A Case Controlled Clinical Study

Chest physiotherapy during immediate postoperative period among patients undergoing laparoscopic surgery- A Randomized Controlled Pilot Trail

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Comparison of Tubal Sterilization Procedures Performed by Keyless Abdominal Rope‐Lifting Surgery and Conventional CO₂ Laparoscopy: A Case Controlled Clinical Study