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Hemodynamic changes during gaseous and gasless laparoscopic cholecystectomy
Atila Korkmaz1, Muhittin Alkiş, Okan Hamamci
1Sixth Department of Surgery, Ankara Numune Training and Research Hospital, Samanpazari, Turkey.
Surgery Today
|August 16, 2002
Summary
Gasless laparoscopic surgery minimally affects patient hemodynamics compared to gaseous methods. This technique offers a safer alternative for cholecystectomy by avoiding pneumoperitoneum.
Area of Science:
- Minimally Invasive Surgery
- Surgical Hemodynamics
- Abdominal Surgery
Background:
- Gaseous laparoscopic surgery necessitates CO(2) insufflation, leading to elevated intra-abdominal pressure.
- Gasless laparoscopic surgery presents an alternative, circumventing the adverse hemodynamic effects of pneumoperitoneum.
Purpose of the Study:
- To investigate the hemodynamic effects of pneumoperitoneum.
- To compare gasless and gaseous laparoscopic cholecystectomy based on hemodynamic parameters.
Main Methods:
- A total of 31 patients underwent either gaseous (n=20) or gasless (n=11) laparoscopic cholecystectomy.
- Hemodynamic parameters including cardiac index (CI), ejection fraction (EF), and stroke index (SI) were monitored noninvasively using thoracic electrical bioimpedance.
Main Results:
- Gaseous laparoscopy induced significant changes in CI, EF, and SI post-insufflation.
- Gasless laparoscopy resulted in only minor, non-significant changes in SI.
Conclusions:
- Gasless laparoscopy demonstrates minimal impact on patient hemodynamic parameters.
- Gasless laparoscopy is a viable alternative to gaseous techniques in selected cholecystectomy cases.