Postoperative Pulmonary Changes after Laparoscopic Cholecystectomy

Abstract

Š Hasukić, Postoperative Pulmonary Changes after Laparoscopic Cholecystectomy. 2002; 22(3-4): 259-261 To the Editor. Laparoscopic cholecystectomy is a surgical technique which is associated with a shorter hospital stay (mean 1-3 days), an early return to full activity, and low morbidity when compared with conventional cholecystectomy. 1,2 The suspension of pulmonary function is a well-known sequelae of upper abdominal surgery and has been characterized as a restrictive pattern dysfunction, faster recovery of preoperative pulmonary function, and less atelectasis. [1][2][3][4][5][6] Many authors have demonstrated that postoperative pulomonary function is better after laparoscopic cholecystectomy than after open cholecystectomy. [3][4][5][6] The purpose of our study was to measure the alteration in lung volumes, arterial blood gas values, and chest radiographs that follow laparoscopic cholecystectomy.

Co2-Pneumoperitoneum in Laparoscopic Surgery: Pathophysiologic Effects and Clinical Significance

“…12 Pains in the laparotomy wound and prevent these excursions too passive expiration converted to active process. [11][12][13] Changes in lung function during laparoscopy caused by PNP are shown in Table 6.…”

“…Reduce lung compliance caused a reduction in total lung capacity, functional residual capacity and residual volume 11,13-15 reduced vital capacity (VC), functional residual capacity (FRC) and forced expiratory volume in the first second (FEV1) are well documented. 10,13,15,16 Intra-abdominal pressure value of 15 mm Hg reduces respiratory compliance by 50%. 16 Absorption of CO 2 leads to hypercapnia, which along with hypoxemia may lead to transient acidose.…”

“…16 Absorption of CO 2 leads to hypercapnia, which along with hypoxemia may lead to transient acidose. [15][16][17] Position the patient on the operating table can also affect the respiratory disturbances during laparoscopy. 16,17 These changes were more pronounced in patients with cardiac and pulmonary diseases.…”

“…11,[14][15][16][17] The Tiffeneau index, the ratio between forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) help to differentiate airflow limitations from restrictive abnormalities. 11,14-16 A meta-analysis of the literature was carried out, concerning the postoperative pulmonary function in both surgical techniques, focused on the Tiffeneau index.…”

Rate of Complications and Conversions After Laparoscopic and Open Cholecystectomy

“…It is associated with minimal risk to the patient and a high degree of relief from symptoms. Now it has become the standard therapy for symptomatic gall stone disease, particularly in elective setting (4,5). According to several studies some advantages of laparoscopic over open surgery are related to: the reduction in trauma of access without compromising the operative field, reduction of postoperative pain, reduction in incidence of wound infection, reduction of recovery time, duration of hospitalization and return to normal diet, activity and work, better cosmetic appearance.…”