Haemodynamic and Ventilatory Changes During Laparoscopic Cholecystectomy in Elderly ASA III Patients

Dhoste, K.; Lacoste, L.; Karayan, J.; Lehuédé, M. S.; Thomas, D.; Fusciardi, J.

doi:10.1097/00132586-199708000-00012

Cited by 23 publications

(37 citation statements)

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“…In spite of the precautions, one patient had bled profusely from an open sinus in liver bed and had to be converted. Similar results have been cited by other authors previously [8][9][10][11].…”

Section: Discussionsupporting

confidence: 93%

“Laparoscopic Cholecystectomy: A Single Surgeon’s Experience in some of the Teaching Hospitals of West Bengal”

et al. 2013

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Laparoscopic cholecystectomy has revolutionized the management of symptomatic gallstone disease since its introduction more than 20 years ago. It has gained widespread acceptance and is presently the gold standard for its management. This large study spanned over last 10 years and includes prospective data on 950 elective cases of laparoscopic cholecystectomy since 2002. All cases were operated personally by the author in different teaching hospitals of West Bengal. The following were looked into: profiles of the patients including major comorbidities requiring special precautions, the frequency of "difficult cholecystectomies," conversion rate, and operative and postoperative complications. The results showed that 75 % of the patients were females. The mean age of the female patients was 35 years (range15-75), while that of the male patients was 42 (range 18-68). Thirty-two patients had major comorbidities which required special precautions in the perioperative period. Twenty-six percent of the cases were categorized as "difficult," and 6 % of the cases had to be converted to open procedure. Major complications occurred in 11 patients of which five had to be converted. Fiftyfive patients had port-site infection due to atypical mycobacteria species of which majority occurred in the last 1 year of the study. All of them responded to second-line antitubercular medications.

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Section: Discussionsupporting

confidence: 93%

“Laparoscopic Cholecystectomy: A Single Surgeon’s Experience in some of the Teaching Hospitals of West Bengal”

et al. 2013

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“…With CO 2 insufflation in the Trendelenburg-lithotomy position, the setting of mechanical ventilation based on the value of PET CO2 should be determined with caution in elderly patients. Insufflation pressure; mmHg 13 (7)(8)(9)(10)(11)(12)(13)(14) 12 (9)(10)(11)(12)(13)(14) 12 (9)(10)(11)(12)(13)(14) Degree against horizontal line; degree 23 (14-30) 24.5 (14-32) 23 (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) N: number of patients…”

Section: Discussionmentioning

confidence: 99%

Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position

Takahata

Kunisawa

Nagashima

et al. 2007

Acta Anaesthesiol Scand

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“…Conversion should not be considered a technical failure but, rather, accepted as a better surgical practice by the patient and surgeon when indicated [9].Carbon Dioxide and elevated intraabdominal pressure due to pneumoperitoneum has potential harmful intraoperative circulatory and Ventilatory effects are assumed to be deleterious for high risk patients ASA III & IV [10]. Despite the tremendous impact of Laparoscopic cholecystectomy on the management of biliary pathology, however surgeons continue to face challenges in application of Laparoscopic cholecystectomy in daily practice.…”

Section: Journal Of Universal Surgery Issn 2254-6758mentioning

confidence: 99%

Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: An Analysis in a High Risk Group of Patients

Mir¹,

Bhat²,

Khan³

et al. 2017

J Univer Surg

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Background: Laparoscopic cholecystectomy (LC) has revolutionized minimally invasive surgery, considered as gold standard and increasing number of procedures are done for patients with various high risk comorbid conditions. LC today can be as straightforward operation, but may also be an operative approach fraught with underlying complexities necessitating conversion to open cholecystectomy leading to longer operative time, longer hospital stay and more postoperative morbidity and higher hospital costs. We have tried to estimate the rate and risk factors which are associated with the conversion.

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Haemodynamic and Ventilatory Changes During Laparoscopic Cholecystectomy in Elderly ASA III Patients

Cited by 23 publications

References 0 publications

“Laparoscopic Cholecystectomy: A Single Surgeon’s Experience in some of the Teaching Hospitals of West Bengal”

“Laparoscopic Cholecystectomy: A Single Surgeon’s Experience in some of the Teaching Hospitals of West Bengal”

Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position

Conversion of Laparoscopic Cholecystectomy to Open Cholecystectomy: An Analysis in a High Risk Group of Patients

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