Metabolic gas exchange during gynaecological laparotomy and laparoscopy

Laparoscopic surgery in children is associated with an intraoperative hypermetabolic response

“…Kazama et al [11] also used mass spectrometry and found that _ VO 2 was stable in adults undergoing laparoscopic cholecystectomy. Using the Deltatrac II indirect calorimeter, Lind [14] found a more significant rise in _ VO 2 after skin incision during gynecological laparotomy compared to laparoscopy, whereas Luiz et al [15] found that _ VO 2 was stable throughout both laparoscopic and open cholecystectomy. The results of these studies in adults contrast with our findings, which show a continuous, intraoperative increase in _ VO 2 during laparoscopy but not during open surgery in children.…”