Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Changes in urinary output during laparoscopic adrenalectomy.

S Nishio1, H Takeda, M Yokoyama

  • 1Department of Urology, Ehime University School of Medicine, Ehime, Japan.

BJU International
|June 15, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Choline transport in rat liver basolateral plasma membrane vesicles.

Hepatology (Baltimore, Md.)·1996
Same author

Effect of endotoxin on bile acid transport in rat liver: a potential model for sepsis-associated cholestasis.

The American journal of physiology·1996
Same author

Extracting 1/f fluctuation from the arterial blood pressure of an artificial heart.

Artificial organs·1996
Same author

Aspirin improves the enhanced erythrocyte aggregability in patients with cerebral infarction.

Journal of the neurological sciences·1996
Same author

Linkage of [Ca2+]i in single isolated D cells to somatostatin secretion induced by cholecystokinin.

The American journal of physiology·1996
Same author

Fluctuations of the hemodynamic derivatives during left ventricular assistance using oscillated blood flow.

Artificial organs·1996

Pneumoperitoneum during laparoscopic adrenalectomy causes temporary oliguria (decreased urine output) that resolves after desufflation. Gasless laparoscopy showed no changes in urinary output, highlighting the physiological impact of insufflation.

Area of Science:

  • Urology
  • Surgical Physiology

Background:

  • Pneumoperitoneum is a standard technique in laparoscopic surgery.
  • Understanding its physiological effects, particularly on renal function, is crucial for patient safety.

Purpose of the Study:

  • To investigate the physiological effects of pneumoperitoneum on urinary output during laparoscopic adrenalectomy.
  • To compare urinary output changes between gaseous and gasless laparoscopic techniques.

Main Methods:

  • Laparoscopic adrenalectomy was performed in nine patients.
  • Six patients underwent the procedure with carbon dioxide insufflation (pneumoperitoneum).
  • Three patients underwent gasless laparoscopic adrenalectomy.

Main Results:

  • Patients undergoing gaseous laparoscopy exhibited significantly decreased urinary output during insufflation.

Related Experiment Videos

  • Urinary output significantly increased after desufflation in the gaseous laparoscopy group.
  • No significant changes in urinary output were observed in the gasless laparoscopy group.

    • Conclusions:

    • Oliguria is a recognized physiological response to pneumoperitoneum during laparoscopic surgery.
    • While pneumoperitoneum affects urinary output, these transient changes did not lead to renal complications in this study.
    • Gasless laparoscopy avoids the urinary output alterations associated with pneumoperitoneum.