Postoperative Pulmonary Changes After Laparoscopic Cholecystectomy

Kg, Torrington; Jf, Bilello; Tk, Hopkins; Ea, Hall

doi:10.1097/00007611-199607000-00005

Cited by 17 publications

(13 citation statements)

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“…However, further studies are needed to verify the exact pathophysiologic mechanism underlying the differences in respiratory muscle strength observed with the two techniques. (17), Torrington and associates (18), and Siafakas and colleagues (19), and may partly explain the superior outcome with the laparoscopic technique as compared with open cholecystectomy, as well as the results of Shulman and colleagues (20), who showed smaller alterations in the respiratory pattern after laparoscopy. PImax was significantly decreased at 24 hand 48 h postoperatively in both groups of patients, but this reduction was significantly smaller in the laparoscopic-surgery group (Figure 1, Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…This new and exciting modality has gained great support among surgeons, and is rapidly replacing the traditional open procedure (Received in original form July 21,1994 and in revised form Aprif 18,1995) (12)(13)(14). Although advantages of the laparoscopic over the open technique have been well documented in a large series of surgical patients, this success has been arbitrarily attributed to the less invasive nature of the laparoscopic technique (14).…”

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confidence: 99%

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Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Rovina

Bouros²,

Tzanakis³

et al. 1996

Am J Respir Crit Care Med

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Laparoscopic cholecystectomy has a better postoperative outcome than the traditional open technique, which has been shown to significantly affect respiratory muscle function. The aim of this study was to investigate the effects of laparoscopic surgery on respiratory function, and particularly that of the respiratory muscles. Respiratory muscle strength was assessed in 26 patients who underwent laparoscopic cholecystectomy and in 25 who underwent open cholecystectomy by measuring mouth pressure during maximum static inspiratory (PImax) and expiratory (PEmax) efforts. PImax, PEmax, and blood gases were measured 24 h preoperatively (-24 h) as well as 24 h (+24 h) and 48 h (+48 h) postoperatively. FEV1 and FVC were measured at -24 h and +48 hr, and the ratio of FEV1 to FVC (FEV1/FVC) was calculated. PImax decreased at +24 h and +48 h in both groups, but this decrease was significantly greater in the patients who had open surgery, (p < 0.01, and p < 0.005, respectively). Similarly, PEmax was significantly smaller in the open- than in the laparoscopic-surgery group (p < 0.0001) at +48 h. Spirometric indices showed a more severe restrictive defect at +48 h after open surgery than after laparoscopy (p = 0.01). The arterial oxygen tension (PaO2) was significantly greater in the laparoscopic- than in the open-surgery group at +24 h (p < 0.007). Laparoscopic cholecystectomy caused smaller decreases in respiratory muscle strength than did open surgery. This accords with the hypothesis of phrenic nerve inhibition during open surgery. The results are of clinical importance, since they may explain the different outcomes with the two techniques.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Rovina

Bouros²,

Tzanakis³

et al. 1996

Am J Respir Crit Care Med

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“…Reduction of lung volume is less and recovery is faster after laparoscopic cholecystectomy than in patients with subcostal incision for open cholecystectomy [3,15,17]. Many authors demonstrated that postoperative function is better after laparoscopic cholecystectomy than after open cholecystectomy [8,15,16].…”

Section: Discussionmentioning

confidence: 99%

“…Following upper abdominal incisions, forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV 1 ) are reduced by approximately 60% because of a reflectory dysfunction of the diaphragm [1,8,12,15,16]. The functional residual capacity (FRC) is decreased postoperatively and atelectasis occurs in most patients [1,[15][16][17]. Postoperative pulmonary function following laparoscopic cholecystectomy is better than that after cholecystectomy performed through Kocher's incision [3,8,9,12].…”

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confidence: 99%

Pulmonary function after laparoscopic and open cholecystectomy

et al. 2001

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“…The changes in spirometry test after laparoscopic cholecystectomy are similar to the results other workers. 8,9 Postoperative atelectasis in pH found during arterial blood gas testing were clinically unimportant. Overall, 9 to 30 postoperative chest films showed atelectasis which were not present preoperatively in our patients.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pulmonary Changes after Laparoscopic Cholecystectomy

2002

Ann Saudi Med

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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.

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Postoperative Pulmonary Changes After Laparoscopic Cholecystectomy

Cited by 17 publications

References 0 publications

Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Effects of laparoscopic cholecystectomy on global respiratory muscle strength.

Pulmonary function after laparoscopic and open cholecystectomy

Postoperative Pulmonary Changes after Laparoscopic Cholecystectomy

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