[Assessment of the anesthetic management during laparoscopic procedures in pediatric oncosurgery]

The estimation of modern methods of sevoflurane anesthesia under APV, in 40 child patients undergoing laparoscopic surgery. Most of the interventions were radical and carried out under the retroperitoneal tumors, tumors of the kidneys, adrenal glands and liver. The role of analgesia during balanced anesthesia performed epidural block with amido class local anesthetics (ropivacaine, lidocaine). We have investigated the role of risk factors associated with laparoscopic interventions (the influence of intra-abdominal pressure increase on cardiorespiratory system as well as insufflated CO2 on acid-base blood balance and the concentration of etCO2. Positive results have been achieved, which were in a stable state during the operative period and the absence of complications. Anesthesia during major abdominal interventions in pediatric oncosurgery, performed by laparoscopy, described in Russian literature for the first time.