[Spirometric evaluation of external respiration function in laparoscopic and mini-laparotomy cholecystectomy]

Area of Science:

• Surgical techniques
• Pulmonary function testing

Background:

• Cholecystectomy is a common surgical procedure.
• Minimally invasive techniques like laparoscopic cholecystectomy are increasingly used.
• Potential impacts on postoperative respiratory function require investigation.

Purpose of the Study:

• To compare the effects of laparoscopic cholecystectomy and mini-laparotomy cholecystectomy on spirometric parameters.
• To assess the degree of restrictive and obstructive disorders in external respiratory function following each surgical approach.

Main Methods:

• Spirometry was performed on 54 patients undergoing cholecystectomy.
• Patients were divided into two groups: laparoscopic cholecystectomy and mini-laparotomy cholecystectomy.
• External respiratory function was evaluated postoperatively.

Main Results:

• Post-mini-laparotomy cholecystectomy, restrictive and obstructive disorders in external respiratory function were less pronounced.
• Laparoscopic cholecystectomy was associated with greater postoperative respiratory impairment compared to the mini-laparotomy approach.

Conclusions:

• Mini-laparotomy cholecystectomy appears to have a less detrimental effect on external respiratory function compared to laparoscopic cholecystectomy.
• Preoperative assessment of external respiratory function is recommended for patients considered for laparoscopic cholecystectomy to mitigate risks.