The Effects of Different Pressure Pneumoperitoneum on the Pulmonary Mechanics and Surgical Satisfaction in the Laparoscopic Cholecystectomy

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dc.authorscopusid55775191200
dc.authorscopusid6602723124
dc.authorscopusid24178667500
dc.authorscopusid15136572200
dc.authorscopusid6507352398
dc.authorscopusid6603421899
dc.contributor.authorKüçüköztaş B.
dc.contributor.authorİyilikçi L.
dc.contributor.authorOzbilgin S.
dc.contributor.authorÖzbilgin M.
dc.contributor.authorÜnek T.
dc.contributor.authorEllidokuz H.
dc.date.accessioned2023-01-12T20:23:51Z
dc.date.available2023-01-12T20:23:51Z
dc.date.issued2021
dc.departmentN/A/Departmenten_US
dc.description.abstractObjectives. Inspiratory, hemodynamic and metabolic changes occur in laparoscopic surgery depending on pneumoperitoneum and patient position. This study aims to evaluate the effects of intra-abdominal pressure increase based on CO2 pneumoperitoneum in laparoscopic operations on hemodynamic parameters and respiratory dynamics and satisfaction of surgeon and operative view. Materials and Methods. A total of 116 consecutive, prospective, ASA class I–III cases aged 18–70 years undergoing laparoscopic cholecystectomy were enrolled in this study. Data of 104 patients were analysed. Patients were divided into two groups as the group Low Pressure (<12 mmHg) (Group LP) (n=53) and the group Standard Pressure (>13 mmHg) (Group SP) (n=51). In this study administration of general anesthesia used total intravenous anaesthesia in both groups. All groups had standard and TOF monitorization applied. The anaesthesia methods used in both groups were recorded. Before, during and after peritoneal insufflation, the peroperative ventilation parameters and hemodynamic parameters were recorded. The adequacy of pneumoperitoneum, gastric and the operative view were evaluated by the operating surgeon and recorded. Results. The peripheral oxygen saturation showed no significant difference between the low and standard pressure pneumoperitoneum in view of tidal volume, respiratory rate, end tidal CO2, mean and peak inspiratory pressure, and minute ventilation values. In terms of hemodynamics, when values just after intubation and before extubation were compared, it was observed that in the LP group systolic, diastolic and mean blood pressure values were higher. In terms of heart rate, no significant difference was observed in determined periods between groups. There was no significant difference between the groups in terms of surgical satisfaction and vision. Conclusion. Low pressure pneumoperitoneum provides effective respiratory mechanics and stable hemodynamics for laparoscopic cholecystectomy. It also provides the surgeon with sufficient space for hand manipulations. Anaesthetic method, TIVA and neuromuscular blockage provided good surgery vision with low pressure pneumoperitoneum. © 2021, V.A. Negovsky Research Institute of General Reanimatology. All rights reserved.en_US
dc.identifier.doi10.15360/1813-9779-2021-6-33-41
dc.identifier.endpage41en_US
dc.identifier.issn18139779
dc.identifier.issn1813-9779en_US
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-85124563799en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage33en_US
dc.identifier.urihttps://doi.org/10.15360/1813-9779-2021-6-33-41
dc.identifier.urihttps://hdl.handle.net/11454/79782
dc.identifier.volume17en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherV.A. Negovsky Research Institute of General Reanimatologyen_US
dc.relation.ispartofObshchaya Reanimatologiyaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDeep neuromuscular blockageen_US
dc.subjectLaparoscopic cholecystectomyen_US
dc.subjectLow pressureen_US
dc.subjectPneumoperitoneumen_US
dc.subjectSurgery satisfactionen_US
dc.subjectSurgical visionen_US
dc.subjectcarbon dioxideen_US
dc.subjectpropofolen_US
dc.subjectremifentanilen_US
dc.subjectrocuroniumen_US
dc.subjectsugammadexen_US
dc.subjectabdominal pressureen_US
dc.subjectadulten_US
dc.subjectanesthesia inductionen_US
dc.subjectArticleen_US
dc.subjectbreathing rateen_US
dc.subjectcontinuous infusionen_US
dc.subjectelectrocardiogramen_US
dc.subjectend tidal carbon dioxide tensionen_US
dc.subjectextubationen_US
dc.subjectfemaleen_US
dc.subjectheart rateen_US
dc.subjecthemodynamic parametersen_US
dc.subjecthumanen_US
dc.subjectintubationen_US
dc.subjectlaparoscopic cholecystectomyen_US
dc.subjectlung mechanicsen_US
dc.subjectlung minute volumeen_US
dc.subjectmajor clinical studyen_US
dc.subjectmaleen_US
dc.subjectmean arterial pressureen_US
dc.subjectneuromuscular blockingen_US
dc.subjectneuromuscular monitoringen_US
dc.subjectobservational studyen_US
dc.subjectoperation durationen_US
dc.subjectoxygen saturationen_US
dc.subjectpatient satisfactionen_US
dc.subjectpeak inspiratory pressureen_US
dc.subjectpneumoperitoneumen_US
dc.subjectpositive end expiratory pressure ventilationen_US
dc.subjectstomach distensionen_US
dc.subjectsystolic blood pressureen_US
dc.subjecttidal volumeen_US
dc.titleThe Effects of Different Pressure Pneumoperitoneum on the Pulmonary Mechanics and Surgical Satisfaction in the Laparoscopic Cholecystectomyen_US
dc.typeArticleen_US

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