Related Experiment Video
Updated: Jul 19, 2026
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
Effect of fluid irrigation on core body temperature during laparoscopic common bile duct exploration
Hamish Noble1, T J Chesworth, N Koehli
1Departments of Surgery, Southmead Hospital, Bristol, United Kingdom.
Background:
Laparoscopic common bile duct exploration uses large volumes of intraperitoneal irrigation fluid. Much of this fluid crosses the peritoneal cavity. This study was performed to examine its effect on core body temperature.
Materials And Methods:
Ten patients undergoing laparoscopic bile duct exploration were studied. Core temperature was measured intraoperatively. Patients were covered with a warming blanket. The volume of fluid irrigated, carbon dioxide used, and intravenous fluid infused were recorded. Ten patients having cholecystectomy alone were studied as a control group.
Results:
There was a small but significant rise in core temperature in both the study (P = 0.010) and control (P = 0.002) groups. There was no significant difference in the change in core temperature between the groups (P = 0.706).The mean volume of irrigation fluid used was 2640 mL in the study group and 915 mL in the control group. Mean gas volume used was 162.9 L and 73.3 L and the volume of intravenous fluid infused was 1620 mL and 1190 mL in the study and control groups, respectively.
Conclusion:
The use of large volumes of irrigation fluid during laparoscopic bile duct exploration does not cause a fall in core temperature.
Related Concept Videos
01:27Assessing Body Temperature - Rectal
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
01:22Methods of reducing fever
Pharmacological Methods of Reducing Fever:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:29Decreased Body Temperature
01:14Assessing Body Temperature - Oral
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...